Provider Demographics
NPI:1629121421
Name:RECTOR, BRIAN PAUL ((DC) CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:PAUL
Last Name:RECTOR
Suffix:
Gender:M
Credentials:(DC) CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 GARDEN RD C-100
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-899-5900
Mailing Address - Fax:831-899-5958
Practice Address - Street 1:2511 GARDEN RD C-100
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-899-5900
Practice Address - Fax:831-899-5958
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA183617800OtherDEPT. OF LABOR
CA183617800OtherDEPT. OF LABOR
CAU502053Medicare UPIN