Provider Demographics
NPI:1740427277
Name:RINK, JOHN ROBERT JR (NCTMB)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ROBERT
Last Name:RINK
Suffix:JR
Gender:M
Credentials:NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 496
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917-0496
Mailing Address - Country:US
Mailing Address - Phone:215-688-2172
Mailing Address - Fax:
Practice Address - Street 1:479 BUCKS RD
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-4169
Practice Address - Country:US
Practice Address - Phone:215-688-2172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA15627-00174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist