Bryan A Riecker in Jasper - Neurology

Bryan A Riecker - NPI 1053398370

Bryan A Riecker is a Neurology in Jasper, Indiana. Bryan A Riecker practices all healthcare services and medical treatments related to Neurology. The NPI Number for Bryan A Riecker is 1053398370. The last update date is 2008-04-22.

Bryan A Riecker's current location address is 3559 Newton St, Jasper, Indiana. You can contact this provider via phone number 8124824005 and fax number 8124829799. The mailing address for Bryan A Riecker is 3559 Newton St, Jasper, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan A Riecker
Address 3559 Newton St, Jasper, Indiana
Phone Number 8124824005
Fax Number 8124829799
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1053398370
Provider Enumeration Date 2005-12-28
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 3559 Newton St
City Jasper
State Indiana (IN)
Post Code 475461051
Phone Number 8124824005
Fax Number 8124829799

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 111Nn0400X
Licence No 08001474A
Definition:
Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
284208 IN BLUE CROSS BLUE SHIELD

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FAQs about Bryan A Riecker

What is the unique identifier code issued to Bryan A Riecker by the Centers for Medicare & Medicaid Services?

The Bryan A Riecker has been assigned the NPI (National Provider Identifier) 1053398370. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Bryan A Riecker's physical address?

The Bryan A Riecker is physically located at 3559 Newton St, in the city of Jasper, IN, with the postal code 475461051.

What is Bryan A Riecker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bryan A Riecker's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 111Nn0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053398370 to Bryan A Riecker?

The Centers for Medicare & Medicaid Services originally issued the 1053398370 to Bryan A Riecker on 2005-12-28.

As of what date was the information pertaining to Bryan A Riecker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bryan A Riecker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-22.

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