MEDICARE: DORICE E REITCHEL CNMW

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
1	367A00000X	Advanced Practice Midwife	051397-23	NH
2	367A00000X	Advanced Practice Midwife	051397-21-01	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	T400318496	OTHER	NH	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831193168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORICE E REITCHEL CNMW

Provider Business Mailing Address
First Line	:	145 HOLLIS ST
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03101-1235
Country	:	US
Telephone Number	:	603-626-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 HOLLIS ST
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03101-1235
Country	:	US
Telephone Number	:	603-626-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	09/21/2021

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Directions to “ DORICE E REITCHEL CNMW” Practice Location

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