Rietz, Robert

Rietz, Robert is an individual health care provider with primary practice located at 400 22Nd Ave , Brookings SD 57006-2497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Rietz, Robert can be contacted via phone (605) 697-9500.

Contact Information

Primary practice address
400 22Nd Ave Brookings SD 57006-2497
Phone: (605) 697-9500
Fax: (605) 697-6939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 1373 South Dakota

Profile Details

NPI number 1104874098
LBN Legal business name Rietz, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 22nd, 2013 - 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 1104874098 NPPES
South Dakota MEDICAID 854267800
South Dakota MEDICAID 6520143

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