Provider Demographics
NPI:1366460552
Name:GARBER, ROBERT JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:GARBER
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 1:209 RICHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DRAVOSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15034-1160
Mailing Address - Country:US
Mailing Address - Phone:412-469-2000
Mailing Address - Fax:412-466-2199
Practice Address - Street 1:209 RICHLAND AVE
Practice Address - Street 2:
Practice Address - City:DRAVOSBURG
Practice Address - State:PA
Practice Address - Zip Code:15034-1160
Practice Address - Country:US
Practice Address - Phone:412-469-2000
Practice Address - Fax:412-466-2199
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001456L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0625639Medicaid
PA0625639Medicaid
PAT28709Medicare UPIN
PA350045589Medicare ID - Type UnspecifiedRAILROAD MEDICARE