Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD047617 | TN |
N | 207PE0004X | Emergency Medical Services | 212507-1 | NY |
NPI | 1124074356 |
---|---|
Provider Name | Jonathan B. Reinschmidt |
First Address | Chattanooga, TN 37404 |
Second Address | Chattanooga, TN 37404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 18/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02317100 | (05) | NY |