Reinen, Jacob Joseph

Reinen, Jacob Joseph is an individual health care provider with primary practice located at 2811 Tieton Dr , Yakima WA 98902-3761. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Reinen, Jacob Joseph can be contacted via phone (509) 575-8000.

Contact Information

Primary practice address
2811 Tieton Dr Yakima WA 98902-3761
Phone: (509) 575-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 754407 Texas

Profile Details

NPI number 1265632863
LBN Legal business name Reinen, Jacob Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265632863 NPPES
Texas Other 89029U BCBS
Texas MEDICAID 194807701 BCBS
Texas Other P00711635 BCBS

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