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Contact Information

RUSSEL L REYNOLDS, PA-C
6480 HARRISON AVE
SUITE 201
CINCINNATI, OH45247-7961
 Phone: 513-354-3700
 Fax: 513-354-7601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RUSSEL L REYNOLDS · (Male)

NPI Number 1730467226
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/01/2011
Last updated 08/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50-003308
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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