Provider Demographics
NPI:1508943564
Name:REIN, ELIZABETH ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:REIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 SCENIC HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-9018
Mailing Address - Country:US
Mailing Address - Phone:850-438-5900
Mailing Address - Fax:850-438-7077
Practice Address - Street 1:4711 SCENIC HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-9018
Practice Address - Country:US
Practice Address - Phone:850-438-5900
Practice Address - Fax:850-438-7077
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL8434111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU94167Medicare UPIN
FL88116Medicare ID - Type UnspecifiedPROVIDER NUMBER