Organization
RIECKER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RIECKER (OWNER)
(812) 482-4005
Entity
Organization
Contact information
Practice address
3559 NEWTON ST, JASPER, IN 47546
(812) 482-4005
Mailing address
3559 NEWTON ST, JASPER, IN 47546
(812) 482-4005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001474
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000284208
ANTHEM BLUE CROSS
IN
Enumeration date
11/21/2007
Last updated
11/21/2007
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