Provider Demographics
NPI:1326305277
Name:REINER, ELIZABETH SARAH KAUFMAN (CPM)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:SARAH KAUFMAN
Last Name:REINER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4705 FORD FIELDS RD
Mailing Address - Street 2:
Mailing Address - City:MYERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21773-8741
Mailing Address - Country:US
Mailing Address - Phone:202-446-4400
Mailing Address - Fax:866-261-6147
Practice Address - Street 1:4705 FORD FIELDS RD
Practice Address - Street 2:
Practice Address - City:MYERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21773-8741
Practice Address - Country:US
Practice Address - Phone:202-446-4400
Practice Address - Fax:866-261-6147
Is Sole Proprietor?:No
Enumeration Date:2012-04-17
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
MD00007176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife