Provider Demographics
NPI:1194080036
Name:REICH, ERIK B (DC)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:B
Last Name:REICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2922
Mailing Address - Country:US
Mailing Address - Phone:203-651-9119
Mailing Address - Fax:
Practice Address - Street 1:747 RESERVOIR RD
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2922
Practice Address - Country:US
Practice Address - Phone:203-651-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor