Individual
MR. BOERRE HENRIK BREVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3627 BRODHEAD RD, MONACA, PA 15061-2681
(724) 775-6012
(725) 775-6010
Mailing address
3627 BRODHEAD RD, MONACA, PA 15061-2681
(724) 775-6012
(725) 775-6010
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT006308L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001456692
HIGHMARK
PA
05
—
101857739
—
PA
01
—
322032
UPMC
—
01
—
506243YC58
MEDICARE
PA
Enumeration date
01/19/2007
Last updated
06/14/2016
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