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
Fax: (636) 922-5157
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962553933 NPPES
Missouri MEDICAID 916151715
Missouri Other P00165057

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