Healthcare Provider Details

I. General information

NPI: 1356397236
Provider Name (Legal Business Name): JEAN-PIERRE REINHOLD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4381 E LOHMAN AVE STE B
LAS CRUCES NM
88011-8255
US

IV. Provider business mailing address

4381 E LOHMAN AVE STE B
LAS CRUCES NM
88011-8255
US

V. Phone/Fax

Practice location:
  • Phone: 575-522-7697
  • Fax:
Mailing address:
  • Phone: 575-522-7697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD2006-0277
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: