Individual
DANIEL RAYMOND RICHERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1101 S 25TH ST, BETHANY, MO 64424-2611
(660) 425-7400
(660) 425-7404
Mailing address
1101 S 25TH ST, P.O. BOX 503, BETHANY, MO 64424-2611
(660) 425-7400
(660) 425-7404
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
01305
MO
231H00000X
Audiologist
341
IA
237700000X
Hearing Instrument Specialist
596
IA
237700000X
Hearing Instrument Specialist
Primary
754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0979252
—
IA
01
—
10001399000
COMMUNITY HEALTH PLAN
MO
01
—
17193010
BLUE CROSS BLUE SHIELD
MO
01
—
17194018
BLUC CROSS BLUE SHIELD
MO
01
—
45-00098
UNITED HEALTHCARE
MO
01
—
8192
HEALTHCARE USA
MO
Enumeration date
09/16/2005
Last updated
09/11/2025
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