Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAN DAWAYNE REYNOLDS, R. EEG T. , CNIM
Active Sole Proprietor2472E0500X · OSCEOLA, IN
Registration Details
- NPI Number
- 1396983581
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2009 (17.233099733692 yrs)
- Last Updated
- Nov 14, 2013
- Licenses
-
1000 (IL)3901 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10207 CHARLES STOSCEOLA, IN, 465618922Browse IN providers · Browse ZIP 46561
- Phone
- 2174944243
- Fax
- 5749686448
- Primary Specialty
-
2472E0500X
2472E0500X
- Additional Specialty
- 2472E0500X
- Additional Specialty
- 2472E0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.