William Lloyd Reid Jr.
Individual provider Active NPI Private Vehicle · Ivor, VA
NPI 1609360171 · NPPES record last updated Jun 19, 2018
Key facts
- NPI
- 1609360171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- T64728716 (VA)
- Practice address
- 7316 Holloman Dr
Ivor, VA 23866-0282 - Phone
- (480) 529-4044
- Fax
- (866) 580-3084
- NPI assigned
- Jun 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T64728716 | VA | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | T64728716 | VA | Yes |
Addresses
Primary practice location
7316 Holloman Dr
Ivor, VA 23866-0282
Mailing address
PO Box 282
Ivor, VA 23866-0282
Phone (480) 529-4044
Other providers in Ivor, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.