Individual
DR. GLENN WAYNE KREINBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
429 MAIN ST, APT#10, BERLIN, PA 15530-1237
(814) 267-4355
Mailing address
320 N FAIRFIELD ST, LIGONIER, PA 15658-1114
(724) 238-9740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009072
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087929
PIN #
PA
Enumeration date
01/31/2007
Last updated
07/08/2007
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