Reynolds, Gorman Joel

Reynolds, Gorman Joel is an individual health care provider with primary practice located at 1000 Mon Health Medical Park Dr Ste 1101 , Morgantown WV 26505-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Reynolds, Gorman Joel can be contacted via phone (304) 598-2700.

Contact Information

Primary practice address
1000 Mon Health Medical Park Dr Ste 1101 Morgantown WV 26505-1143
Phone: (304) 598-2700
Fax: (304) 598-2725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 38707 Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35.135080 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 22684 West Virginia

Profile Details

NPI number 1184750325
LBN Legal business name Reynolds, Gorman Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2007
Last updated Apr 28th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184750325 NPPES
Ohio MEDICAID 0065126
Ohio MEDICAID 3810008998

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