Provider Demographics
NPI:1407481906
Name:KREICHER, BRYCE MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:MICHAEL
Last Name:KREICHER
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 1:1112 E PERKINS AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5071
Mailing Address - Country:US
Mailing Address - Phone:419-626-9595
Mailing Address - Fax:440-626-9977
Practice Address - Street 1:1112 E PERKINS AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5071
Practice Address - Country:US
Practice Address - Phone:419-626-9595
Practice Address - Fax:440-626-9977
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC04952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor