Reinhard, Elaine Ruth

Reinhard, Elaine Ruth is an sole proprietor health care provider with primary practice located at 519 W Monticello St Suite B, Brookhaven MS 39601-3209. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Reinhard, Elaine Ruth can be contacted via phone (601) 990-2963.

Contact Information

Primary practice address
519 W Monticello St Suite B Brookhaven MS 39601-3209
Phone: (601) 990-2963
Fax: (601) 833-0530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17415 Mississippi
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 17415 Mississippi
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17415 Mississippi

Profile Details

NPI number 1184787673
LBN Legal business name Reinhard, Elaine Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jan 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184787673 NPPES
Mississippi MEDICAID 05676700

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