Reichard, Mark Alan
Reichard, Mark Alan is an individual health care provider with primary practice located at 825 Washington Street Suite 240, Norwood MA 02062-3441. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Reichard, Mark Alan can be contacted via phone (781) 769-4660.Contact Information
Primary practice address
825 Washington Street Suite 240
Norwood MA 02062-3441
Phone: (781) 769-4660
Fax: (781) 769-0371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 41096 | Massachusetts |
Profile Details
| NPI number | 1396738605 |
|---|---|
| LBN Legal business name | Reichard, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Feb 28th, 2008 - about 16 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 | 1396738605 | NPPES |
| Massachusetts | Other | C18113 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | MEDICAID | 0106623 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | Other | 17006 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | Other | 702195 | BLUE CROSS/BLUE SHIELD |
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