Basic Information
| Provider Information | |||||||||
| NPI: | 1386749604 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RECHTIEN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | B401 WEST FEE HALL | ||||||||
| Address2: | DEPT OF PHYSICAL MEDICINE & REHABILITATOIN | ||||||||
| City: | EAST LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488241315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173530713 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1200 E MICHIGAN AVENUE | ||||||||
| Address2: | SUITE 420 | ||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173645260 | ||||||||
| FaxNumber: | 5174321319 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2006 | ||||||||
| LastUpdateDate: | 12/15/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 5101007041 | MI | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 1364170 | 05 | MI | MEDICAID |