Individual
DR. BRENT THOMAS REICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
439 MAIN ST, SACO, ME 04072-1528
(207) 571-8028
(866) 213-8207
Mailing address
439 MAIN ST, SACO, ME 04072-1528
(207) 571-8028
(866) 213-8201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3726
WI
111N00000X
Chiropractor
Primary
CR1313
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022530
BLUE CROSS BLUE SHEILD
ME
01
—
05Z044016ME02
FEDERAL EMPLOYEE PLANS
ME
01
—
MM937401
PTAN
ME
01
—
U56702
HARVARD PILGRAM
ME
Enumeration date
11/01/2006
Last updated
07/08/2015
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