Reynolds, Mark Steven

Reynolds, Mark Steven is an individual health care provider with primary practice located at 923 Broad St , Durham NC 27705-4141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Reynolds, Mark Steven can be contacted via phone (919) 220-4224.

Contact Information

Primary practice address
923 Broad St Durham NC 27705-4141
Phone: (919) 220-4224
Fax: (919) 220-7309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 32957 North Carolina

Profile Details

NPI number 1023052503
LBN Legal business name Reynolds, Mark Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023052503 NPPES
North Carolina Other 2342249 GROUP MEDICARE

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