Reinke, Derek Lawrence
Reinke, Derek Lawrence is an individual health care provider with primary practice located at 1120 Se Cary Pkwy Suite 100, Cary NC 27511-7413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Reinke, Derek Lawrence can be contacted via phone (919) 467-4992.Contact Information
Primary practice address
1120 Se Cary Pkwy Suite 100
Cary NC 27511-7413
Phone: (919) 467-4992
Fax: (919) 232-5150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 9901000 | North Carolina |
Profile Details
| NPI number | 1174597389 |
|---|---|
| LBN Legal business name | Reinke, Derek Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Aug 9th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174597389 | NPPES |
| Other | 2350603 | AETNA HMO | |
| Other | 1822991 | AETNA HMO | |
| Other | 5544751 | AETNA HMO | |
| Other | 1217R | AETNA HMO | |
| MEDICAID | 891217R | AETNA HMO | |
| Other | 2075594 | AETNA HMO |
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