NPI
Jacob Reynolds
NPI 1710435433
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2016-09-12
- Last updated
- 2016-09-12
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Specialties
Licenses
- License MI
- Number not in the file
Location
- Practice location
- 6170 Central St
- City
- Romulus MI
- Postal code
- 48174-4217
- Phone
- (734) 512-9296
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Romulus, MI. 388 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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