Provider Demographics
NPI:1831222587
Name:RINKER, JASON (LAC)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:RINKER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-1526
Mailing Address - Country:US
Mailing Address - Phone:484-547-4756
Mailing Address - Fax:
Practice Address - Street 1:453 CHERRY ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-1526
Practice Address - Country:US
Practice Address - Phone:484-547-4756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000474L171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist