Individual
JOHN R KIRCHER
Active
Individual
JOHN R KIRCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010Z960170
BLUE CROSS BLUE SHIELD PIN
MA
01
—
0P43930
GROUP PTAN
MI
01
—
0Z96017
MEDICARE GROUP PTAN
MI
01
—
JK001075
BLUE CROSS BLUE SHIELD LICENSE
MI
01
—
P43930007
INDIVIDUAL PTAN
MI
01
—
Z96017094
MEDICARE INDIVIDUAL PTAN
MI
Enumeration date
01/05/2007
Last updated
07/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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