Reckard, Paul Eugene

Reckard, Paul Eugene is an individual health care provider with primary practice located at 1400 E Boulder St Ste 600, Colorado Springs CO 80909-5533. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Reckard, Paul Eugene can be contacted via phone (719) 364-6487.

Contact Information

Primary practice address
1400 E Boulder St Ste 600 Colorado Springs CO 80909-5533
Phone: (719) 364-6487
Fax: (719) 364-6488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33021 Wisconsin
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 33021-20 Wisconsin
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 33021-20 Wisconsin
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X DR-51777 Colorado

Profile Details

NPI number 1902823578
LBN Legal business name Reckard, Paul Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902823578 NPPES
Wisconsin MEDICAID 31818100
Wisconsin MEDICAID 45154074

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