Reynolds, Jackson David

Reynolds, Jackson David is an individual health care provider with primary practice located at 1300 N 12Th St Ste 508 , Phoenix AZ 85006-2849. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Reynolds, Jackson David can be contacted via phone (602) 839-3927.

Contact Information

Primary practice address
1300 N 12Th St Ste 508 Phoenix AZ 85006-2849
Phone: (602) 839-3927
Fax: (602) 839-4233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 72531 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72531 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 72531 Arizona

Profile Details

NPI number 1598345647
LBN Legal business name Reynolds, Jackson David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2021
Last updated Mar 18th, 2024 - about 2 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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