Individual
PATRICK DANIEL REIBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13450 N MERIDIAN ST STE 354, CARMEL, IN 46032-1486
(317) 249-0990
Mailing address
13450 N MERIDIAN ST STE 354, CARMEL, IN 46032-1486
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01042143
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091276
ANTHEM
IN
01
—
129480500
DEPT OF LABOR
IN
01
—
130014906
RR MEDICARE
IN
05
—
200014330A
—
IN
05
—
200476110I
—
IN
01
—
4455269
AETNA REFERRAL NUMBER
IN
Enumeration date
01/30/2006
Last updated
11/10/2022
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