Reckard, Paul Eugene
Reckard, Paul Eugene is an individual health care provider with primary practice located at 1400 E Boulder St Ste 600, Colorado Springs CO 80909-5533. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Reckard, Paul Eugene can be contacted via phone (719) 364-6487.Contact Information
Primary practice address
1400 E Boulder St Ste 600
Colorado Springs CO 80909-5533
Phone: (719) 364-6487
Fax: (719) 364-6488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 33021 | Wisconsin |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 33021-20 | Wisconsin |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 33021-20 | Wisconsin |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | DR-51777 | Colorado |
Profile Details
NPI number | 1902823578 |
---|---|
LBN Legal business name | Reckard, Paul Eugene |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Oct 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902823578 | NPPES |
Wisconsin | MEDICAID | 31818100 | |
Wisconsin | MEDICAID | 45154074 |
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