Reinker, John Bradley
Reinker, John Bradley is an individual health care provider with primary practice located at 10 Hospital Dr , Saint Peters MO 63376-1659. 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. Reinker, John Bradley can be contacted via phone (314) 895-3828.Contact Information
Primary practice address
10 Hospital Dr
Saint Peters MO 63376-1659
Phone: (314) 895-3828
Fax: (636) 922-5157
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 155412 | Missouri |
Profile Details
NPI number | 1962553933 |
---|---|
LBN Legal business name | Reinker, John Bradley |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2007 |
Last updated | Apr 29th, 2011 - about 13 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 | 1962553933 | NPPES |
Missouri | MEDICAID | 916151715 | |
Missouri | Other | P00165057 |
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