Organization
REIBLY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON E REIBLY D.C. (DOCTOR/ OWNER)
(765) 473-8824
Entity
Organization
Contact information
Practice address
210 BOULEVARD, PERU, IN 46970-1620
(765) 473-8824
(765) 473-8825
Mailing address
PO BOX 1044, PERU, IN 46970-4044
(765) 473-8824
(765) 473-8825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001459A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184945
ANTHEM BC/BS
IN
05
—
100179590A
—
IN
01
—
350055708
RAILROAD MEDICARE
IN
Enumeration date
12/05/2012
Last updated
12/05/2012
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