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NPI Code Detail

MEDICARE: KARL FREDERICK RIGLESBERGER MSW, LSW

MEDICARE: KARL FREDERICK RIGLESBERGER MSW, LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker7023-SNV

General Provider Information

NPI Number : 1467973438
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARL FREDERICK RIGLESBERGER MSW, LSW
Provider Business Mailing Address
First Line : PO BOX 21445
Second Line :
City : RENO
State : NV
Zip : 89515-1445
Country : US
Telephone Number : 775-971-7749
Fax Number :
Provider Business Practice Location Address
First Line : 9925 SANDHAVEN CT
Second Line :
City : RENO
State : NV
Zip : 89506-4515
Country : US
Telephone Number : 775-972-9455
Fax Number : 775-826-1113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2017
Last Update Date : 06/29/2017

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