Organization
CHIROPRACTIC & REHAB ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J HERBENER D.C. (PRESIDENT)
(570) 836-5305
Entity
Organization
Contact information
Practice address
112 RIVER ST, TUNKHANNOCK, PA 18657-1799
(570) 836-5305
(570) 836-6564
Mailing address
112 RIVER ST, TUNKHANNOCK, PA 18657-1799
(570) 836-5305
(570) 836-6564
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC006129L
PA
111NR0400X
Rehabilitation Chiropractor
DC007819L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015583990002
—
PA
01
—
540709
AETNA
PW
01
—
611633
BLUE CROSS BLUE SHIELD
PA
01
—
814278
FIRST PRIORITY
PA
Enumeration date
05/10/2007
Last updated
10/18/2007
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