Provider Demographics
NPI:1386749604
Name:RECHTIEN, JAMES JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:RECHTIEN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:B401 WEST FEE HALL
Mailing Address - Street 2:DEPT OF PHYSICAL MEDICINE & REHABILITATOIN
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-1315
Mailing Address - Country:US
Mailing Address - Phone:517-353-0713
Mailing Address - Fax:
Practice Address - Street 1:1200 E MICHIGAN AVENUE
Practice Address - Street 2:SUITE 420
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-364-5260
Practice Address - Fax:517-432-1319
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2009-12-15
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Provider Licenses
StateLicense IDTaxonomies
MI5101007041208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1364170Medicaid
MI1364170Medicaid
MI0C36082079Medicare PIN