Provider Demographics
NPI:1093211625
Name:RIEHLE, SHEILA RIOS (COMPASSIONATE CARE)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:RIOS
Last Name:RIEHLE
Suffix:
Gender:F
Credentials:COMPASSIONATE CARE
Other - Prefix:MRS
Other - First Name:SHEILA
Other - Middle Name:RIOS
Other - Last Name:RIEHLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPR FIRST AID
Mailing Address - Street 1:105 WALNFORD RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1920
Mailing Address - Country:US
Mailing Address - Phone:732-252-7021
Mailing Address - Fax:609-208-3835
Practice Address - Street 1:105 WALNFORD RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501
Practice Address - Country:US
Practice Address - Phone:732-252-7021
Practice Address - Fax:609-208-3835
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJR41647040056752172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJR41647040056752OtherDRIVERS LICENSE
NJ7770003018798201Medicaid
NJNJ20744OtherFIRST AID CPR-AED