Provider Demographics
NPI:1033105747
Name:REINHART, JEFFREY HUNTER (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:HUNTER
Last Name:REINHART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 JORDAN DR
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-5719
Mailing Address - Country:US
Mailing Address - Phone:870-460-9777
Mailing Address - Fax:870-460-4790
Practice Address - Street 1:777 JORDAN DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-5719
Practice Address - Country:US
Practice Address - Phone:870-460-9777
Practice Address - Fax:870-460-4790
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7742207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116714001Medicaid
E19145Medicare UPIN
AR116714001Medicaid