Reichardt, Jeffrey A
Reichardt, Jeffrey A is an individual health care provider with primary practice located at 2440 Baton Rouge , Lima OH 45805-5104. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Reichardt, Jeffrey A can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.10079.NP | Ohio |
Profile Details
| NPI number | 1346387123 |
|---|---|
| LBN Legal business name | Reichardt, Jeffrey A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Feb 14th, 2013 - about 11 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 | 1346387123 | NPPES |
| Michigan | MEDICAID | 4775429 |
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