Individual
MR. DENNIS REICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
867 WHITWORTH CIR, SENECA, SC 29672-9435
(864) 882-7400
(864) 882-7401
Mailing address
PO BOX 601082, CHARLOTTE, NC 28260-1082
(864) 885-7989
(864) 885-7867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1477
SC
363LF0000X
Family Nurse Practitioner
4704270788
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548327760
—
SC
01
—
P48193
MEDICARE PTAN
SC
Enumeration date
01/03/2007
Last updated
09/01/2009
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