Galahadd'S Quest LLC
Nurse Practitioner, Family in Lima, OH. Organization (NPI-2).
NPI number1720378128
StatusActive
Last updated in NPPESAug 24, 2011
Details
- NPI
- 1720378128
- Entity type
- Organization (NPI-2)
- Legal business name
- Galahadd'S Quest LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2011
- Last updated
- Aug 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | coa10079-np | OH | Yes |
Other names
- Reichardt Family Practice (Doing Business As)
Practice location
2440 Baton RougeLima, OH 45805-5104
Phone 419-331-2273 · Fax 419-331-4274
Mailing address
2440 Baton RougeSuite 306
Lima, OH 45805-5104
Phone 419-331-2273 · Fax 419-331-4274
Authorized official
Jeffrey Alan Reichardt
Owner
4193312273
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