MEDICARE: HELEN G RIEGLE MD

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	207Q00000X	Family Medicine Physician	01045304	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000766403	OTHER	IN	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912973702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN G RIEGLE MD

Provider Business Mailing Address
First Line	:	940 PARK EAST BLVD
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-0792
Country	:	US
Telephone Number	:	765-464-2280
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 PARK EAST BLVD
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-0792
Country	:	US
Telephone Number	:	765-464-2280
Fax Number	:

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	02/06/2024

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