Provider Demographics
NPI:1902611684
Name:REUTING, CLINTON JOSEPH
Entity type:Individual
Prefix:MR
First Name:CLINTON
Middle Name:JOSEPH
Last Name:REUTING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4239 W HANCOCK CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-1120
Mailing Address - Country:US
Mailing Address - Phone:757-779-0707
Mailing Address - Fax:
Practice Address - Street 1:4239 W HANCOCK CT
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-1120
Practice Address - Country:US
Practice Address - Phone:757-779-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home