Provider Demographics
NPI:1518184951
Name:RINK, JOHN ERIC (PA - C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ERIC
Last Name:RINK
Suffix:
Gender:M
Credentials:PA - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S LIBERTY ST
Mailing Address - Street 2:HC 62
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2618
Mailing Address - Country:US
Mailing Address - Phone:504-988-6300
Mailing Address - Fax:504-988-6347
Practice Address - Street 1:150 S LIBERTY ST
Practice Address - Street 2:HC 62
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2618
Practice Address - Country:US
Practice Address - Phone:504-988-6300
Practice Address - Fax:504-988-6347
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAA10168363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1756601Medicaid
LA5DB49PB42Medicare PIN