Individual
REBECCA A REINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1052
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38741
BLUE SHIELD
NE
05
—
47065843713
—
NE
01
—
P00336698
RAILROAD MEDICARE
NE
Enumeration date
06/19/2006
Last updated
07/21/2022
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