Provider Demographics
NPI:1922331446
Name:RINEHART, ALEXANDER J (DC, MS, CNS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:J
Last Name:RINEHART
Suffix:
Gender:M
Credentials:DC, MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15655 W ROOSEVELT ST STE 108
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-9311
Mailing Address - Country:US
Mailing Address - Phone:623-308-0081
Mailing Address - Fax:
Practice Address - Street 1:15655 W ROOSEVELT ST
Practice Address - Street 2:SUITE 108
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-9282
Practice Address - Country:US
Practice Address - Phone:623-308-0081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8341111NN1001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program