Provider Demographics
NPI:1679828271
Name:RICHARD ALAN REINER DC PA
Entity Type:Organization
Organization Name:RICHARD ALAN REINER DC PA
Other - Org Name:REINER CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNWER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:REINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-689-4700
Mailing Address - Street 1:5768 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4343
Mailing Address - Country:US
Mailing Address - Phone:561-689-4700
Mailing Address - Fax:561-689-9909
Practice Address - Street 1:5768 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4343
Practice Address - Country:US
Practice Address - Phone:561-689-4700
Practice Address - Fax:561-689-9909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT85900Medicare UPIN