Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 10499 | NV |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 10499 | NV |
Y | 207R00000X | Internist | 10499 | NV |
Y | 111NI0900X | Internist | 10499 | NV |
N | 208D00000X | General Practice Physician | 10499 | NV |
NPI | 1285698381 |
---|---|
Provider Name | Dr. Michael David Reiner |
First Address | Pahrump, NV 89041-0035 |
Second Address | Pahrump, NV 89048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 29/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1285698381 | (05) | NV |
F00999 | (02) | NV |