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:
Health care specialties
Specialty | Code | License # | 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 13 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 | 1710955752 | NPPES |
Other | STL2750010 | UHC | |
Other | 102179 | UHC | |
Other | 4134729 | UHC | |
Other | 601-15944 | UHC | |
Other | 480026528 | UHC |
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