Provider Demographics
NPI:1902892789
Name:RINEHART, GREGORY SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:SCOTT
Last Name:RINEHART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 MANSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-9426
Mailing Address - Country:US
Mailing Address - Phone:419-347-2786
Mailing Address - Fax:419-347-2786
Practice Address - Street 1:152 MANSFIELD AVE
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-9426
Practice Address - Country:US
Practice Address - Phone:419-347-2786
Practice Address - Fax:419-347-2786
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1644111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0803616Medicaid
OHRI0676781Medicare ID - Type Unspecified
OH0803616Medicaid
RI0676782Medicare ID - Type Unspecified