Provider Demographics
NPI:1821100546
Name:RINKER, JOANNE K (RD)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:K
Last Name:RINKER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 HICKORY ST.
Mailing Address - Street 2:P.O. BOX 1517
Mailing Address - City:BADIN
Mailing Address - State:NC
Mailing Address - Zip Code:28009-1517
Mailing Address - Country:US
Mailing Address - Phone:704-985-0624
Mailing Address - Fax:704-422-5299
Practice Address - Street 1:44 HICKORY ST.
Practice Address - Street 2:
Practice Address - City:BADIN
Practice Address - State:NC
Practice Address - Zip Code:28009
Practice Address - Country:US
Practice Address - Phone:704-985-0624
Practice Address - Fax:704-422-5299
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002046133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
2993513AMedicare ID - Type Unspecified