Provider Demographics
NPI:1295796514
Name:REINHOLZ, LOUIS JOSEPH (DO)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:JOSEPH
Last Name:REINHOLZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41555
Mailing Address - Street 2:CHESTNUT HILL EMERGENCY ASSOCIATES LTD
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101
Mailing Address - Country:US
Mailing Address - Phone:800-777-2455
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:8835 GERMANTOWN AVE
Practice Address - Street 2:CHESTNUT HILL HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118
Practice Address - Country:US
Practice Address - Phone:215-248-8523
Practice Address - Fax:215-248-8275
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009221L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016805460014Medicaid
PA0477976000OtherINDEPENDENCE BC
PA540299OtherHIGHMARK BS
PA0477976000OtherINDEPENDENCE BC
PA004652Medicare ID - Type Unspecified