Healthcare Provider Details

I. General information

NPI: 1700708906
Provider Name (Legal Business Name): ALISA JANE REINHART RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

478 PORTLAND WAY N
GALION OH
44833-1115
US

IV. Provider business mailing address

3538 STATE ROUTE 42 S
LEXINGTON OH
44904-9552
US

V. Phone/Fax

Practice location:
  • Phone: 419-512-1299
  • Fax:
Mailing address:
  • Phone: 419-512-1299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.280220
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: