Reynolds, Jodi
Reynolds, Jodi is an sole proprietor health care provider with primary practice located at 1425 S Main St , Walnut Creek CA 94596-5318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reynolds, Jodi can be contacted via phone (925) 295-4130.Contact Information
Primary practice address
1425 S Main St
Walnut Creek CA 94596-5318
Phone: (925) 295-4130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA19068 | California |
Profile Details
| NPI number | 1063629111 |
|---|---|
| LBN Legal business name | Reynolds, Jodi |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Dec 1st, 2011 - about 15 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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