Provider Demographics
NPI:1275866063
Name:DR. ROBERT J. REIER, P.A.
Entity Type:Organization
Organization Name:DR. ROBERT J. REIER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:REIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-893-2600
Mailing Address - Street 1:205 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2905
Mailing Address - Country:US
Mailing Address - Phone:410-893-2600
Mailing Address - Fax:410-638-7775
Practice Address - Street 1:205 E BROADWAY
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2905
Practice Address - Country:US
Practice Address - Phone:410-893-2600
Practice Address - Fax:410-638-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty