Reichert, Kim Michael

Reichert, Kim Michael is an individual health care provider with primary practice located at 2900 Frank Scott Pkwy W Suite 900, Belleville IL 62223-5000. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Reichert, Kim Michael can be contacted via phone (618) 277-5700.

Contact Information

Primary practice address
2900 Frank Scott Pkwy W Suite 900 Belleville IL 62223-5000
Phone: (618) 277-5700
Fax: (618) 257-7049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-003257 Illinois
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016003257 Illinois

Profile Details

NPI number 1710955752
LBN Legal business name Reichert, Kim Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 24th, 2012 - about 12 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 1710955752 NPPES
Other STL2750010 UHC
Other 102179 UHC
Other 4134729 UHC
Other 601-15944 UHC
Other 480026528 UHC

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