Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 144-1154-0584A | NH |
N | 111NR0400X | Rehabilitation Chiropractor | 144-1154-0584A | NH |
N | 111NS0005X | Chiropractic Sports Physician | 144-1154-0584A | NH |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 144-1154-0584A | NH |
NPI | 1265581664 |
---|---|
Provider Name | Dr. Joseph Andrew Reinfurt |
First Address | Manchester, NH 03103-7120 |
Second Address | Manchester, NH 03103-7120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 29/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0500603Y0NH01 | BCBS PROVIDER ID (01) | NH |
24280 | CIGNA PROVIDER ID (01) | NH |
NA1769 | HARVARD PILGRIM ID (01) | NH |
T25843 | (02) | NH |