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NPI Code Detail

MEDICARE: MR. BRENT REITZ LSW

MEDICARE:  MR. BRENT  REITZ  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 WorkerS.1802839OH

General Provider Information

NPI Number : 1821662511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRENT REITZ LSW
Provider Business Mailing Address
First Line : 1065 MEDINA RD
Second Line :
City : MEDINA
State : OH
Zip : 44256-5375
Country : US
Telephone Number : 216-220-9844
Fax Number :
Provider Business Practice Location Address
First Line : 1065 MEDINA RD
Second Line :
City : MEDINA
State : OH
Zip : 44256-5375
Country : US
Telephone Number : 216-220-9844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 02/18/2022

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Directions to “ MR. BRENT REITZ LSW” Practice Location

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