Individual
BRIAN JOHN PIATAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
30 N SCOTT STREET, CARBONDALE, PA 18407
(570) 282-5464
(570) 282-5349
Mailing address
30 N SCOTT STREET, CARBONDALE, PA 18407
(570) 282-5464
(570) 282-5349
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007832L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1833299
—
PA
01
—
670493
BLUE CROSS
—
01
—
818422
FIRST PRIORITY
—
Enumeration date
10/10/2006
Last updated
07/08/2007
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