Reynolds, Ellen M
Reynolds, Ellen M is an individual health care provider with primary practice located at 100 E Idaho St Ste 300, Boise ID 83712-6267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Reynolds, Ellen M can be contacted via phone (208) 381-7370.Contact Information
Primary practice address
100 E Idaho St Ste 300
Boise ID 83712-6267
Phone: (208) 381-7370
Fax: (208) 381-7377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | M-7833 | Idaho |
Profile Details
| NPI number | 1679622542 |
|---|---|
| LBN Legal business name | Reynolds, Ellen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Sep 4th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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