Provider Demographics
NPI:1477072924
Name:RINK, BILL BRODY
Entity type:Individual
Prefix:
First Name:BILL
Middle Name:BRODY
Last Name:RINK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 E 32ND ST STE 11
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-4311
Mailing Address - Country:US
Mailing Address - Phone:417-553-0727
Mailing Address - Fax:417-553-3478
Practice Address - Street 1:2640 E 32ND ST STE 11
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4311
Practice Address - Country:US
Practice Address - Phone:417-553-0727
Practice Address - Fax:417-553-3478
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK001105237700000X
MO2015039402237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist