Doctor Name: | MR. CHRIS LOUIS RIEGER |
NPI Number: | 1073515896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.O. L.O. ORTHOTIST |
License Number: | 64 |
Business Practice Address: | 24643 Red Robin Dr Bonita Springs, FL - 341357085 |
Business Phone Number: | 2399477906 |
Business Fax Number: | 2399477906 |
Mailing Address: | 24643 Red Robin Dr, BONITA SPRINGS |
State: | FL |
Postal Code: | 341357085 |
Phone Number: | 2399477906 |
Fax Number: | 2399477906 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/22/2006 |
NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | 64 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |