Provider Demographics
NPI:1073717575
Name:BIEBER FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BIEBER FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-649-5252
Mailing Address - Street 1:292 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TURBOTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17772-8824
Mailing Address - Country:US
Mailing Address - Phone:570-649-5252
Mailing Address - Fax:570-649-5252
Practice Address - Street 1:292 MAIN ST
Practice Address - Street 2:
Practice Address - City:TURBOTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17772-8824
Practice Address - Country:US
Practice Address - Phone:570-649-5252
Practice Address - Fax:570-649-5252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008834111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty