Individual
MR. JOSEPH A RIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O., C.PED.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO004014
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941554
—
AL
05
—
1454953
—
TN
01
—
165832900
ACS - DEPT OF LABOR
—
01
—
3048012
BLUE CROSS BLUE SHIELD
TN
05
—
900002072
—
KY
Enumeration date
10/02/2006
Last updated
06/10/2008
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