Provider Demographics
NPI:1053740381
Name:REINKE, CHRISTINE BAYTION (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:BAYTION
Last Name:REINKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:JANE
Other - Last Name:BAYTION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:102 RAPHAEL DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6014
Mailing Address - Country:US
Mailing Address - Phone:919-233-4811
Mailing Address - Fax:
Practice Address - Street 1:102 RAPHAEL DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6014
Practice Address - Country:US
Practice Address - Phone:919-233-4811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400159208100000X
OH35073971208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation