Reichert, Timothy J

Reichert, Timothy J is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 622A, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Reichert, Timothy J can be contacted via phone (314) 872-8340.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 622A Saint Louis MO 63141-8232
Phone: (314) 872-8340
Fax: (314) 872-8399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X R7939 Missouri

Profile Details

NPI number 1043275811
LBN Legal business name Reichert, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated May 4th, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043275811 NPPES
Missouri MEDICAID 200454916

Popular Providers