Healthcare Provider Details

I. General information

NPI: 1174566871
Provider Name (Legal Business Name): JEAN S REINHOLD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 01/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36901 AMERICAN WAY
AVON OH
44011
US

IV. Provider business mailing address

36901 AMERICAN WAY
AVON OH
44011
US

V. Phone/Fax

Practice location:
  • Phone: 440-930-6200
  • Fax: 440-930-6201
Mailing address:
  • Phone: 440-930-6200
  • Fax: 440-930-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35062283
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: