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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1023052503 | NPPES |
| North Carolina | Other | 2342249 | GROUP MEDICARE |
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