Provider Demographics
NPI:1326732397
Name:DILBECK, RILEY BROOKS (DC)
Entity Type:Individual
Prefix:DR
First Name:RILEY
Middle Name:BROOKS
Last Name:DILBECK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 TURLINGTON AVE UNIT 103
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-6068
Mailing Address - Country:US
Mailing Address - Phone:910-408-1778
Mailing Address - Fax:
Practice Address - Street 1:1175 TURLINGTON AVE UNIT 103
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-6068
Practice Address - Country:US
Practice Address - Phone:910-408-1778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5639111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor