Reynolds, Russ K

Reynolds, Russ K is an sole proprietor health care provider with primary practice located at 220 25Th St Ne , East Wenatchee WA 98802-4097. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Reynolds, Russ K can be contacted via phone (509) 884-0602.

Contact Information

Primary practice address
220 25Th St Ne East Wenatchee WA 98802-4097
Phone: (509) 884-0602
Fax: (509) 884-0602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X RT00003044 Washington

Profile Details

NPI number 1679610356
LBN Legal business name Reynolds, Russ K
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jan 8th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679610356 NPPES
Washington MEDICAID 7015290

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