Provider Demographics
NPI:1750331302
Name:REIFF, DENNIS B (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:B
Last Name:REIFF
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 1:1935 GREEN LANE RD
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5014
Mailing Address - Country:US
Mailing Address - Phone:215-368-5528
Mailing Address - Fax:215-362-4150
Practice Address - Street 1:1935 GREEN LANE RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5014
Practice Address - Country:US
Practice Address - Phone:215-368-5528
Practice Address - Fax:215-362-4150
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002329L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000185326Medicare ID - Type Unspecified
T30009Medicare UPIN