Individual
JAMES CHARLES REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2255 S 132ND ST, OMAHA, NE 68144-2573
(402) 717-3390
(402) 717-3393
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25432
NE
207Q00000X
Family Medicine Physician
MD053809L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026143101
UNIVERA
NY
05
—
0015346820009
—
PA
01
—
02332814
NY MEDICAID
NY
01
—
080188193
RR MEDICARE
PA
01
—
159112
UNISON
PA
01
—
2351306
OH MEDICAID
OH
01
—
323632
UPMC
PA
01
—
781829
BLUE SHIELD
PA
01
—
851458
AETNA
PA
01
—
P000571
GATEWAY
PA
Enumeration date
06/17/2005
Last updated
09/07/2011
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