Provider Demographics
NPI:1285637868
Name:REINSHAGEN, JOHN ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ROBERT
Last Name:REINSHAGEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4226 BRIDGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-4598
Mailing Address - Country:US
Mailing Address - Phone:513-886-2116
Mailing Address - Fax:513-451-4568
Practice Address - Street 1:4226 BRIDGETOWN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-4598
Practice Address - Country:US
Practice Address - Phone:513-886-2116
Practice Address - Fax:513-451-4568
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2605111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3085512Medicaid
OH3085512Medicaid
RE4028911Medicare PIN