Provider Demographics
NPI:1407851892
Name:RIGBERG, COREY NYLES (MD)
Entity Type:Individual
Prefix:DR
First Name:COREY
Middle Name:NYLES
Last Name:RIGBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WASHINGTON ST
Mailing Address - Street 2:STE 701
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3463
Mailing Address - Country:US
Mailing Address - Phone:717-725-9903
Mailing Address - Fax:
Practice Address - Street 1:501 WASHINGTON ST STE 700
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3463
Practice Address - Country:US
Practice Address - Phone:610-898-0770
Practice Address - Fax:610-898-0773
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2016-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062211L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1521281Medicaid
PA1521281Medicaid
B16514Medicare UPIN