Healthcare Provider Details

I. General information

NPI: 1629572888
Provider Name (Legal Business Name): JOEL REIMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 3215
APO AE
09094-3215
US

IV. Provider business mailing address

86 MDG UNIT 3215
APO AE
09094-3215
US

V. Phone/Fax

Practice location:
  • Phone: 314-479-2282
  • Fax: 999-999-9999
Mailing address:
  • Phone: 314-479-2282
  • Fax: 999-999-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101267945
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number0101267945
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: