Provider Demographics
NPI:1003138397
Name:REINERSMAN, EUGENE JOSEPH
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:JOSEPH
Last Name:REINERSMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:EUGENE
Other - Middle Name:J
Other - Last Name:REINERSMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 173817
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-3817
Mailing Address - Country:US
Mailing Address - Phone:303-306-7783
Mailing Address - Fax:303-306-7753
Practice Address - Street 1:2000 BOISE AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-5006
Practice Address - Country:US
Practice Address - Phone:970-635-4071
Practice Address - Fax:970-635-4177
Is Sole Proprietor?:No
Enumeration Date:2010-02-27
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255846207P00000X
CO0051821207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO21378045Medicaid
CO264090YLA0Medicare PIN