Healthcare Provider Details

I. General information

NPI: 1972934164
Provider Name (Legal Business Name): MICHAEL T REFFNER ED.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 COMMONWEALTH DR SUITE 0101
CHARLOTTESVILLE VA
22901
US

IV. Provider business mailing address

2340 COMMONWEALTH DR SUITE 0101
CHARLOTTESVILLE VA
22901
US

V. Phone/Fax

Practice location:
  • Phone: 908-274-1958
  • Fax: 908-274-1958
Mailing address:
  • Phone: 908-274-1958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: