Individual
DR. BRYAN A RIECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3559 NEWTON ST, JASPER, IN 47546-1051
(812) 482-4005
(812) 482-9799
Mailing address
3559 NEWTON ST, JASPER, IN 47546-1051
(812) 482-4005
(812) 482-9799
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
08001474A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000284208
BLUE CROSS BLUE SHIELD
IN
Enumeration date
12/28/2005
Last updated
04/22/2008
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