Provider Demographics
NPI:1225264757
Name:REINSHAGEN CHIROPRACTIC. LLC
Entity Type:Organization
Organization Name:REINSHAGEN CHIROPRACTIC. LLC
Other - Org Name:REINSHAGEN CHIROPRACTIC, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:REINSHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-886-2116
Mailing Address - Street 1:121 W COUNTY ROAD 700 S
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:IN
Mailing Address - Zip Code:47042
Mailing Address - Country:US
Mailing Address - Phone:513-886-2116
Mailing Address - Fax:
Practice Address - Street 1:5486 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3456
Practice Address - Country:US
Practice Address - Phone:513-886-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRE4028911Medicare PIN
OHU81188Medicare UPIN