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Contact Information

TIMOTHY J REICHERT, MD
621 S NEW BALLAS RD
SUITE 622A
SAINT LOUIS, MO63141-8232
 Phone: 314-872-8340
 Fax: 314-872-8399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for TIMOTHY J REICHERT · (Male)

NPI # 1043275811
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 05/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R7939
  • MO Medicaid 200454916
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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