Reynolds, Joel Wayne

Reynolds, Joel Wayne is an individual health care provider with primary practice located at 61 Charles St , Deadwood SD 57732-1303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Reynolds, Joel Wayne can be contacted via phone (605) 722-6101.

Contact Information

Primary practice address
61 Charles St Deadwood SD 57732-1303
Phone: (605) 722-6101
Fax: (605) 719-6133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0548 South Dakota

Profile Details

NPI number 1134157233
LBN Legal business name Reynolds, Joel Wayne
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 23rd, 2013 - about 12 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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