Provider Demographics
NPI:1821289679
Name:PREIK, CURTIS REINHOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:REINHOLD
Last Name:PREIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 691538
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7026
Mailing Address - Country:US
Mailing Address - Phone:704-804-2663
Mailing Address - Fax:980-260-0650
Practice Address - Street 1:9915 CLARKES VIEW PL NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-7235
Practice Address - Country:US
Practice Address - Phone:704-804-2663
Practice Address - Fax:980-260-0650
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01945207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5910949Medicaid
NCNC5048AMedicare PIN
NC2023303Medicare PIN
NC5910949Medicaid