Reynolds, Mark Paul
Reynolds, Mark Paul is an sole proprietor health care provider with primary practice located at 2195 E Custer Ave , Helena MT 59602-1217. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reynolds, Mark Paul can be contacted via phone (406) 495-7053.Contact Information
Primary practice address
2195 E Custer Ave
Helena MT 59602-1217
Phone: (406) 495-7053
Fax: (406) 495-7052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 425OPT | Montana |
Profile Details
| NPI number | 1326036484 |
|---|---|
| LBN Legal business name | Reynolds, Mark Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Aug 29th, 2012 - about 14 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 | 1326036484 | NPPES |
| Montana | Other | 28260 | BCBS |
| Montana | MEDICAID | 0483912 | BCBS |
| Montana | Other | 410044874 | BCBS |
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