Dr. Harry Richard Reynolds
Dermatologist
2345 Chesterfield Ave Suite 204
Charleston
, West Virginia 25304-1062
Dr. Harry Richard Reynolds
Dermatologist
2345 Chesterfield Ave Suite 204
Charleston
, West Virginia 25304-1062
(304) 345-3599
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Harry Richard Reynolds
- 2345 Chesterfield Ave Suite 204
- Charleston, WV
- Zip : 25304-1062
- Fax : (304) 345-3599
- Phone : (304) 345-3570
Second Address
- Dr. Harry Richard Reynolds
- 2345 Chesterfield Ave Suite 204
- Charleston, WV
- Zip : 25304-1062
- Fax : (304) 345-3599
- Phone : (304) 345-3570
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | WV14661 | WV |
National Provider Identifier
| NPI | 1043277270 |
|---|---|
| Provider Name | Dr. Harry Richard Reynolds |
| First Address | Charleston, WV 25304-1062 |
| Second Address | Charleston, WV 25304-1062 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 25/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0069872000 | (05) | WV |
| 51D0234293 | CLIA (01) | WV |
| 55-0672861 | TAX ID (01) | WV |
| B42697 | (02) | WV |
| BRO446383 | DEA (01) | WV |
| WV14661 | WV LICENSE (01) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.