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:
Authorized official contact:
Name: Reichardt, Jeffrey Alan Certified Nurse Practitioner (CNP)
Phone: (419) 331-2273
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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