Healthcare Provider Details

I. General information

NPI: 1437358645
Provider Name (Legal Business Name): ELBERT J RINKEL LAC RAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 S MAIN CTG 1
NEW HOPE PA
18938
US

IV. Provider business mailing address

PO BOX 141
NEW HOPE PA
18938-0141
US

V. Phone/Fax

Practice location:
  • Phone: 215-862-3686
  • Fax:
Mailing address:
  • Phone: 215-862-3686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000059L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: