Individual
GINA M RIECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6683 E SAINT MARY ST, CELESTINE, IN 47521-5412
(812) 634-2482
Mailing address
6683 E SAINT MARY ST, CELESTINE, IN 47521-5412
(812) 634-2482
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000284209
BLUE CROSS BLUE SHIELD
IN
Enumeration date
09/24/2007
Last updated
08/07/2008
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