Reynolds, Merrick Gordon
Reynolds, Merrick Gordon is an individual health care provider with primary practice located at 526 Shoup Ave W Suite E, Twin Falls ID 83301-5050. 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, Merrick Gordon can be contacted via phone (208) 733-1112.Contact Information
Primary practice address
526 Shoup Ave W Suite E
Twin Falls ID 83301-5050
Phone: (208) 733-1112
Fax: (208) 732-1212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA876 | Idaho |
Profile Details
| NPI number | 1891097234 |
|---|---|
| LBN Legal business name | Reynolds, Merrick Gordon |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2010 |
| Last updated | Nov 17th, 2010 - about 16 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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