Reynolds, John Wallin

Reynolds, John Wallin is an individual health care provider with primary practice located at 411 W Randolph Rd , Hopewell VA 23860-2938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Reynolds, John Wallin can be contacted via phone (804) 452-3643.

Contact Information

Primary practice address
411 W Randolph Rd Hopewell VA 23860-2938
Phone: (804) 452-3643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101037559 Virginia

Profile Details

NPI number 1174523310
LBN Legal business name Reynolds, John Wallin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Aug 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174523310 NPPES
Other 16685 OPTIMAHEALTH
Other 224105 OPTIMAHEALTH

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