Reichert, Angelle W

Reichert, Angelle W is an individual health care provider with primary practice located at 1132 Rutherford Rd , Greenville SC 29609-3927. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Reichert, Angelle W can be contacted via phone (864) 250-0005.

Contact Information

Primary practice address
1132 Rutherford Rd Greenville SC 29609-3927
Fax: (864) 250-0028
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 782 South Carolina

Profile Details

NPI number 1841473758
LBN Legal business name Reichert, Angelle W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2007
Last updated Dec 13th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841473758 NPPES
South Carolina MEDICAID TH0022

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