Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0051821 | CO |
N | 207P00000X | Emergency Physician | 255846 | NY |
NPI | 1003138397 |
---|---|
Provider Name | Eugene Joseph Reinersman |
First Address | Denver, CO 80217-3817 |
Second Address | Loveland, CO 80538-5006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2010 |
Last Update Date | 12/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
21378045 | (05) | CO |