1588923270 NPI number — ZACHARY FAIN REICHER ZACHARY REICHER

Table of content: ZACHARY FAIN REICHER ZACHARY REICHER (NPI 1588923270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588923270 NPI number — ZACHARY FAIN REICHER ZACHARY REICHER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REICHER
Provider First Name:
ZACHARY
Provider Middle Name:
FAIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ZACHARY REICHER
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588923270
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 RUSH VINE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OWINGS MILLS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21117-4524
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-205-6215
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 W. 14TH ST
Provider Second Line Business Practice Location Address:
WILMINGTON HOSPITAL
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-205-6215
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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