Provider Demographics
NPI:1518364348
Name:RAINO, JAIRRION
Entity Type:Individual
Prefix:
First Name:JAIRRION
Middle Name:
Last Name:RAINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SOUTH 13TH STREET
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503
Mailing Address - Country:US
Mailing Address - Phone:402-475-5161
Mailing Address - Fax:402-475-3300
Practice Address - Street 1:1000 SOUTH 13TH STREET
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508
Practice Address - Country:US
Practice Address - Phone:402-475-5161
Practice Address - Fax:402-475-3300
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker