Reynolds, Jefferey David
Reynolds, Jefferey David is an sole proprietor health care provider with primary practice located at 1041 45Th St , West Palm Beach FL 33407-2402. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reynolds, Jefferey David can be contacted via phone (561) 383-8000.Contact Information
Primary practice address
1041 45Th St
West Palm Beach FL 33407-2402
Phone: (561) 383-8000
Fax: (561) 514-1275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW8473 | Florida |
Profile Details
| NPI number | 1962565812 |
|---|---|
| LBN Legal business name | Reynolds, Jefferey David |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962565812 | NPPES |
| Florida | Other | SW8473 | STATE LICENSED NUMBER |
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