Provider / Organization | NPI | Date Certified |
---|---|---|
MICHAEL RIECKHOFF-ROBERTS | 1841836509 | 2022-12-29 |
Michael Rieckhoff-roberts is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841836509. Registration indicates Michael Rieckhoff-roberts is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
Entity Type | Individual |
Provider Name | Michael Rieckhoff-roberts |
Practice Office Address | 525 METRO PL N STE 100 DUBLIN, OH US |
Practice Office Telephone | 8552891722 |
Mailing Address | 525 METRO PL N STE 100 DUBLIN, OH 430175343 US |
Business Telephone | 8552891722 |
Code | Practice | License No State |
---|---|---|
171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |
2910854 | MEDICAID | OH |