Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003439522 |
---|---|
Provider Name | David Ray Reinhart |
First Address | Muskegon, MI 49442-3466 |
Second Address | Muskegon, MI 49442-3466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2020 |
Last Update Date | 19/05/2020 |