Healthcare Provider Details

I. General information

NPI: 1811988215
Provider Name (Legal Business Name): ROBERT B RICHTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 11/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4777 E GALBRAITH RD
CINCINNATI OH
45236-2725
US

IV. Provider business mailing address

PO BOX 488026
CINCINNATI OH
45248-8026
US

V. Phone/Fax

Practice location:
  • Phone: 513-686-3254
  • Fax: 513-686-4942
Mailing address:
  • Phone: 513-874-1415
  • Fax: 513-874-1415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number35061591
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: