Provider Demographics
NPI:1538323506
Name:BINDER, BRENT GEOFFREY (MS, DC)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:GEOFFREY
Last Name:BINDER
Suffix:
Gender:M
Credentials:MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 KENT DR
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5932
Mailing Address - Country:US
Mailing Address - Phone:717-364-9538
Mailing Address - Fax:
Practice Address - Street 1:2507 GETTYSBURG RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7308
Practice Address - Country:US
Practice Address - Phone:717-364-9538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009972111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation