Provider Demographics
NPI:1427302637
Name:REINHARDT CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:REINHARDT CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:REINHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-996-0381
Mailing Address - Street 1:3915 E EXPOSITION AVE
Mailing Address - Street 2:200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5051
Mailing Address - Country:US
Mailing Address - Phone:303-996-0381
Mailing Address - Fax:303-282-6462
Practice Address - Street 1:3915 E EXPOSITION AVE
Practice Address - Street 2:200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5051
Practice Address - Country:US
Practice Address - Phone:303-996-0381
Practice Address - Fax:303-282-6462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty