Provider Demographics
NPI:1780862029
Name:REINHOLTZ FAMILY CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:REINHOLTZ FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:REINHOLTZ
Authorized Official - Last Name:REINHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-471-9801
Mailing Address - Street 1:42 SPRINGER DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2314
Mailing Address - Country:US
Mailing Address - Phone:303-471-9801
Mailing Address - Fax:303-471-9802
Practice Address - Street 1:42 SPRINGER DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2314
Practice Address - Country:US
Practice Address - Phone:303-471-9801
Practice Address - Fax:303-471-9802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804172OtherGROUP PIN #
COU70542Medicare UPIN
CO804139Medicare PIN