Reifenberg, Richard

Reifenberg, Richard is an individual health care provider with primary practice located at 1522 W Morris St , Indianapolis IN 46221-1629. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Reifenberg, Richard can be contacted via phone (317) 488-2020.

Contact Information

Primary practice address
1522 W Morris St Indianapolis IN 46221-1629
Phone: (317) 488-2020
Fax: (317) 488-2031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01047123A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01047123A Indiana

Profile Details

NPI number 1730177460
LBN Legal business name Reifenberg, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 19th, 2011 - about 15 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 1730177460 NPPES
Indiana MEDICAID 200261630A

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