Provider Demographics
NPI:1376614578
Name:RAMBACHER, DAVID A (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:RAMBACHER
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 1:4037 DICKEY RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9713
Mailing Address - Country:US
Mailing Address - Phone:724-443-2599
Mailing Address - Fax:
Practice Address - Street 1:4037 DICKEY RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9713
Practice Address - Country:US
Practice Address - Phone:724-443-2599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003972-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA469534OtherHIGHMARK GROUP I.D.
PA1804186OtherHIGHMARK INDIV. PROVIDER
PAU12163Medicare UPIN
PA1804186OtherHIGHMARK INDIV. PROVIDER