Individual
BRENDA REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0068
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18197
BLUE SHIELD
ND
01
—
18198
BLUE SHIELD
ND
01
—
18199
BLUE SHIELD
ND
01
—
18201
BLUE SHIELD
ND
01
—
18202
BLUE SHIELD
ND
01
—
25960
BLUE SHIELD
ND
01
—
28584
BLUE SHIELD
ND
05
—
71048
—
ND
05
—
71058
—
ND
01
—
970009838
RAILROAD MEDICARE
ND
01
—
CF8850
RAILROAD MEDICARE
ND
Enumeration date
10/19/2005
Last updated
01/22/2014
Update your record
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