Reynolds, Susan Marie

Reynolds, Susan Marie is an individual health care provider with primary practice located at 522 N Hancock St , Ottumwa IA 52501-4231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reynolds, Susan Marie can be contacted via phone (641) 683-0800.

Contact Information

Primary practice address
522 N Hancock St Ottumwa IA 52501-4231
Phone: (641) 683-0800
Fax: (641) 683-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 36832 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A074307 Iowa

Profile Details

NPI number 1801889498
LBN Legal business name Reynolds, Susan Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 25th, 2024 - about 2 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 1801889498 NPPES
Montana MEDICAID 1801889498
Montana MEDICAID 1801889498
Montana MEDICAID 1801889498
Montana Other 0000374761

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