Reichardt Family Practice

LBN: Galahadd'S Quest Llc
Reichardt Family Practice is an health care organization with primary practice located at 2440 Baton Rouge , Lima OH 45805-5104. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Galahadd'S Quest Llc can be contacted via phone (419) 331-2273, or through Reichardt, Jeffrey Alan via phone (419) 331-2273.

Contact Information

Primary practice address
2440 Baton Rouge Lima OH 45805-5104
Phone: (419) 331-2273
Fax: (419) 331-4274
Website:
Map and Directions
Authorized official contact:
Name: Reichardt, Jeffrey Alan Certified Nurse Practitioner (CNP)
Phone: (419) 331-2273

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA10079-NP Ohio

Profile Details

NPI number 1720378128
LBN Legal business name Galahadd'S Quest Llc
DBA Doing business as Reichardt Family Practice
Authorized official Reichardt, Jeffrey Alan Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2011
Last updated Aug 24th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720378128 NPPES
Ohio Other 0B51149 BCBS-OH
Ohio Other A503JREICHART:80561 BCBS-OH
Ohio Other 6268010001 BCBS-OH
Ohio Other H006310 BCBS-OH
Ohio MEDICAID 0B51149 BCBS-OH

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