Provider Demographics
NPI:1174894653
Name:REINECKE, SUSAN H (DVM)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:H
Last Name:REINECKE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 BARNARDSVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8626
Mailing Address - Country:US
Mailing Address - Phone:828-645-1616
Mailing Address - Fax:828-645-1112
Practice Address - Street 1:121 BARNARDSVILLE HWY
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-8626
Practice Address - Country:US
Practice Address - Phone:828-645-1616
Practice Address - Fax:828-645-1112
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4179174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian