1417035619 NPI number — JOHN PAUL REINHOLZ SR.

Table of content: JOHN PAUL REINHOLZ SR. (NPI 1417035619)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417035619 NPI number — JOHN PAUL REINHOLZ SR.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REINHOLZ
Provider First Name:
JOHN
Provider Middle Name:
PAUL
Provider Name Prefix Text:
Provider Name Suffix Text:
SR.
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417035619
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 DANNENBURG RD
Provider Second Line Business Mailing Address:
REINHOLZ CUSTOM FOOTWEAR
Provider Business Mailing Address City Name:
MOLT
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59057-2244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-669-3222
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 DANNENBURG RD
Provider Second Line Business Practice Location Address:
REINHOLZ CUSTOM FOOTWEAR
Provider Business Practice Location Address City Name:
MOLT
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59057-2244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-669-3222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 222Z00000X , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5601942 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




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