Reynolds, Michael George

Reynolds, Michael George is an individual health care provider with primary practice located at 1602 W 15Th Ave Ste B, Emporia KS 66801-5672. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Reynolds, Michael George can be contacted via phone (620) 342-6989.

Contact Information

Primary practice address
1602 W 15Th Ave Ste B Emporia KS 66801-5672
Phone: (620) 342-6989
Fax: (620) 342-2262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04-24388 Kansas

Profile Details

NPI number 1760486526
LBN Legal business name Reynolds, Michael George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Aug 11th, 2014 - about 12 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 1760486526 NPPES
Kansas MEDICAID 100164440A
Kansas Other 47-1424576
Kansas Other 48-0792406

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