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Individual

DR. JAMES ANTHONY REICHERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
801 PRO DR, STE D2, CELINA, OH 45822-3307
(419) 586-6480
(419) 586-8574
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 300-1129
(419) 394-9575

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.009532
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0105065
MEDICAID GROUP
OH
01
1184652539
GROUP NPI - JTDM FAMILY PRACTICE, LLC
OH
05
3030508
OH
01
9934723
MEDICARE GROUP PTAN
OH
01
H035101
MEDICARE INDIVIDUL PTAN
OH
Enumeration date
04/01/2008
Last updated
08/10/2020
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