Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 2605 | OH |
NPI | 1285637868 |
---|---|
Provider Name | Dr. John Robert Reinshagen |
First Address | Cincinnati, OH 45211-4598 |
Second Address | Cincinnati, OH 45211-4598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 26/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3085512 | (05) | OH |
U81188 | (02) | OH |