Reicherter, Paul Douglas
Reicherter, Paul Douglas is an individual health care provider with primary practice located at 1813 W Harvard Ave Ste 310, Roseburg OR 97471-2752. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Reicherter, Paul Douglas can be contacted via phone (541) 672-7546.Contact Information
Primary practice address
1813 W Harvard Ave Ste 310
Roseburg OR 97471-2752
Phone: (541) 672-7546
Fax: (541) 957-8446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2015039802 | Missouri |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD23536 | Oregon |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 2015039802 | Missouri |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD23536 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 2015039802 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | MD23536 | Oregon |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD23536 | Oregon |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD23536 | Oregon |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2015039802 | Missouri |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 2015039802 | Missouri |
Profile Details
| NPI number | 1053379826 |
|---|---|
| LBN Legal business name | Reicherter, Paul Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1053379826 | NPPES |
| Oregon | MEDICAID | 286785 | |
| Oregon | Other | 838392000 | |
| Oregon | Other | DC5977 | |
| Oregon | MEDICAID | 1053379826 | |
| Oregon | Other | 38D1028702 |
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