Craig A. Reickert
Colorectal Surgeon Surgical Critical Care
Henry Ford Health System 2799 West Grand Boulevard
Detoit
, Michigan 48202
Craig A. Reickert
Colorectal Surgeon Surgical Critical Care
Henry Ford Health System 2799 West Grand Boulevard
Detoit
, Michigan 48202
(313) 916-2600
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About
Features
Specialties
- Surgical Critical Care
- Colorectal Surgeon
Languages spoken
- English
Location
First Address
- Craig A. Reickert
- Henry Ford Health System 2799 West Grand Boulevard
- Detoit, MI
- Zip : 48202
- Phone : (313) 916-2600
Second Address
- Craig A. Reickert
- Henry Ford Health System 2799 West Grand Boulevard
- Detoit, MI
- Zip : 48202
- Phone : (313) 916-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0102X | Surgical Critical Care | 4301059439 | MI |
| Y | 208C00000X | Colorectal Surgeon | 4301059439 | MI |
National Provider Identifier
| NPI | 1275621955 |
|---|---|
| Provider Name | Craig A. Reickert |
| First Address | Detoit, MI 48202 |
| Second Address | Detoit, MI 48202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 17/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 280H264470 | BLUE CROSS-BLUE CROSS (01) | |
| 454306810 | (05) | MI |
| CR059439 | CHAMPUS-CHAMPUS (01) | |
| CR059439 | COMMERCIAL-COMMERCIAL NUMBER (01) | |
| H39104 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.