Provider Demographics
NPI:1669018164
Name:RINER, JAMES DANE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DANE
Last Name:RINER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 PHOENIX LN
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-6139
Mailing Address - Country:US
Mailing Address - Phone:509-855-1499
Mailing Address - Fax:
Practice Address - Street 1:4525 ROAD 68 STE H
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9595
Practice Address - Country:US
Practice Address - Phone:509-855-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61002054111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor