Individual
DR. JAMES ANTHONY REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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