Provider Demographics
NPI:1336029065
Name:RIEMER, NOAH CHRISTOPHER
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:CHRISTOPHER
Last Name:RIEMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 ROCKY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-2927
Mailing Address - Country:US
Mailing Address - Phone:720-758-4707
Mailing Address - Fax:
Practice Address - Street 1:1208 ROCKY BROOK RD
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-2927
Practice Address - Country:US
Practice Address - Phone:720-758-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program