Provider Demographics
NPI:1265581664
Name:REINFURT, JOSEPH ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANDREW
Last Name:REINFURT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 QUEEN CITY AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-7120
Mailing Address - Country:US
Mailing Address - Phone:603-624-9480
Mailing Address - Fax:603-647-2023
Practice Address - Street 1:70 QUEEN CITY AVE
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-7120
Practice Address - Country:US
Practice Address - Phone:603-624-9480
Practice Address - Fax:603-647-2023
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH144-1154-0584A111N00000X, 111NR0400X, 111NS0005X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0500603Y0NH01OtherBCBS PROVIDER ID
NH24280OtherCIGNA PROVIDER ID
NHNA1769OtherHARVARD PILGRIM ID
NH0500603Y0NH01OtherBCBS PROVIDER ID
NHT25843Medicare UPIN