Provider Demographics
NPI:1477545036
Name:RINKACS, THOMAS J (FNP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:RINKACS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 BERWICK DR STE A
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5543
Mailing Address - Country:US
Mailing Address - Phone:910-276-2439
Mailing Address - Fax:910-276-2404
Practice Address - Street 1:1707 BERWICK DR STE A
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5543
Practice Address - Country:US
Practice Address - Phone:910-276-2439
Practice Address - Fax:910-276-2404
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ15519Medicare UPIN
NCQ15519Medicare UPIN