Individual
DR. BRIAN K REBISZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., D.A.C.R.B.
Contact information
Practice address
8420 W CHESTER PIKE, UPPER DARBY, PA 19082-2725
(610) 446-2828
(610) 446-2895
Mailing address
8420 W CHESTER PIKE, UPPER DARBY, PA 19082-2725
(610) 446-2828
(610) 446-2895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002962-L
PA
111N00000X
Chiropractor
MC03194
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032895000
IBC
—
05
—
1045722
—
PA
01
—
188030
HIGHMARK BLUE SHIELD
—
Enumeration date
03/09/2007
Last updated
07/08/2007
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