Reynolds, Wm Ryan

Reynolds, Wm Ryan is an sole proprietor health care provider with primary practice located at 8150 Moorsbridge Rd Ste B , Portage MI 49024-7419. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Reynolds, Wm Ryan can be contacted via phone (269) 343-2667.

Contact Information

Primary practice address
8150 Moorsbridge Rd Ste B Portage MI 49024-7419
Phone: (269) 343-2667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301009081 Michigan
Chiropractic Providers / Orthopedic 111NX0800X WR009081 Michigan

Profile Details

NPI number 1598739112
LBN Legal business name Reynolds, Wm Ryan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jul 19th, 2017 - about 9 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 1598739112 NPPES
Michigan MEDICAID 4962083

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