Provider Demographics
NPI:1417081928
Name:RIEBELING, CURT GLENN (DC)
Entity Type:Individual
Prefix:DR
First Name:CURT
Middle Name:GLENN
Last Name:RIEBELING
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 1:21 SUGAR ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-2045
Mailing Address - Country:US
Mailing Address - Phone:203-426-7122
Mailing Address - Fax:203-426-8983
Practice Address - Street 1:21 SUGAR ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-2045
Practice Address - Country:US
Practice Address - Phone:203-426-7122
Practice Address - Fax:203-426-8983
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000278111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTT-22005Medicare UPIN
CT350000260Medicare ID - Type Unspecified