Provider Demographics
NPI:1760641211
Name:RIEGLE, ROBERT T (ACA, BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:T
Last Name:RIEGLE
Suffix:
Gender:M
Credentials:ACA, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 ALLENTOWN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-1897
Mailing Address - Country:US
Mailing Address - Phone:419-223-2756
Mailing Address - Fax:419-228-6058
Practice Address - Street 1:2021 ALLENTOWN RD STE 2
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-1897
Practice Address - Country:US
Practice Address - Phone:419-223-2756
Practice Address - Fax:419-228-6058
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2232237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist