Dr. Wm Ryan Reynolds
Chiropractor Chiropractor Orthopedic Specialist
8150 Moorsbridge Rd Ste B
Portage
, Michigan 49024-7419
Dr. Wm Ryan Reynolds
Chiropractor Chiropractor Orthopedic Specialist
8150 Moorsbridge Rd Ste B
Portage
, Michigan 49024-7419
(269) 343-2667
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About
Features
Specialties
- Chiropractor
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Wm Ryan Reynolds
- 8150 Moorsbridge Rd Ste B Suite B
- Portage, MI
- Zip : 49024-7419
- Phone : (269) 343-2667
Second Address
- Dr. Wm Ryan Reynolds
- 8150 Moorsbridge Rd Ste B
- Portage, MI
- Zip : 49024-7419
- Phone : (269) 343-2667
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2301009081 | MI |
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | WR009081 | MI |
National Provider Identifier
| NPI | 1598739112 |
|---|---|
| Provider Name | Dr. Wm Ryan Reynolds |
| First Address | Portage, MI 49024-7419 |
| Second Address | Portage, MI 49024-7419 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2006 |
| Last Update Date | 19/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4962083 | (05) | MI |
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.