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NPI Code Detail

MEDICARE: SCOTT REIFSCHNEIDER PA

MEDICARE: SCOTT REIFSCHNEIDER PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1629471081
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT REIFSCHNEIDER PA
Provider Business Mailing Address
First Line : PO BOX 406
Second Line :
City : SAINT PAUL
State : NE
Zip : 68873-0406
Country : US
Telephone Number : 308-754-4421
Fax Number :
Provider Business Practice Location Address
First Line : 1113 SHERMAN ST
Second Line :
City : SAINT PAUL
State : NE
Zip : 68873-1546
Country : US
Telephone Number : 308-754-4421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2014
Last Update Date : 09/09/2022

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Directions to “ SCOTT REIFSCHNEIDER PA” Practice Location

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