Provider Demographics
NPI:1124077862
Name:RIETCHECK, JOHN EDWARD (AUD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:EDWARD
Last Name:RIETCHECK
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:TOPEKA VA MEDICAL CENTER - AUDIOLOGY (126)
Mailing Address - Street 2:2200 GAGE BLVD
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66622-0001
Mailing Address - Country:US
Mailing Address - Phone:785-350-3111
Mailing Address - Fax:785-350-4449
Practice Address - Street 1:TOPEKA VA MEDICAL CENTER - AUDIOLOGY (126)
Practice Address - Street 2:2200 GAGE BLVD
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66622-0001
Practice Address - Country:US
Practice Address - Phone:785-350-3111
Practice Address - Fax:785-350-4449
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS00808231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist