Healthcare Provider Details

I. General information

NPI: 1508920893
Provider Name (Legal Business Name): LUCAS PAUL REINHART D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4967 E DUBLIN GRANVILLE RD
WESTERVILLE OH
43081-9703
US

IV. Provider business mailing address

4967 E DUBLIN GRANVILLE RD
WESTERVILLE OH
43081-9703
US

V. Phone/Fax

Practice location:
  • Phone: 614-337-8111
  • Fax: 614-675-2576
Mailing address:
  • Phone: 614-337-8111
  • Fax: 614-675-2576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3774
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: