Healthcare Provider Details

I. General information

NPI: 1811364441
Provider Name (Legal Business Name): SCOTT REINHART CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 11/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 N MCCORD RD
TOLEDO OH
43615
US

IV. Provider business mailing address

ONE SEAGATE SUITE 800
TOLEDO OH
43604-1558
US

V. Phone/Fax

Practice location:
  • Phone: 419-842-3000
  • Fax: 419-291-9883
Mailing address:
  • Phone: 567-585-1983
  • Fax: 419-824-7359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP18195
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: