Individual
DR. RICKY REICH SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1570 WESTBROOK PLAZA DR, WINSTON-SALEM, NC 27103-1328
(386) 774-0209
(336) 774-0905
Mailing address
1570 WESTBROOK PLAZA DR, WINSTON-SALEM, NC 27103-1328
(386) 774-0209
(336) 774-0905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1218
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08791
BLUE CROSS BS
—
05
—
890252L
—
NC
Enumeration date
09/30/2005
Last updated
08/22/2022
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