1386732345 NPI number — DR. ARTHUR B REINHOLT O.D.

Table of content: JAZZMIN KEPREA DENISE MILLER (NPI 1467220640)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386732345 NPI number — DR. ARTHUR B REINHOLT O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REINHOLT
Provider First Name:
ARTHUR
Provider Middle Name:
B
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
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:
1386732345
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1790 YARDLEY LANGHORNE RD
Provider Second Line Business Mailing Address:
HESTON HALL SUITE 101
Provider Business Mailing Address City Name:
YARDLEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19067-5523
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-493-1924
Provider Business Mailing Address Fax Number:
215-493-9805

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1790 YARDLEY LANGHORNE RD
Provider Second Line Business Practice Location Address:
HESTON HALL SUITE 101
Provider Business Practice Location Address City Name:
YARDLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19067-5523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-493-1924
Provider Business Practice Location Address Fax Number:
215-493-9805
Provider Enumeration Date:
10/11/2006

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: 152W00000X , with the licence number:  OE0005552T , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1386732345 . This is a "INDIVIDUAL NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2255594000 . This is a "HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1508933201 . This is a "GROUP NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 233083285 . This is a "AETNA, VSP, BC/BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001554635 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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