Provider Demographics
NPI:1134523947
Name:DLBB, LLC
Entity type:Organization
Organization Name:DLBB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:GEARHART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-601-8831
Mailing Address - Street 1:121 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917-2313
Mailing Address - Country:US
Mailing Address - Phone:215-601-8831
Mailing Address - Fax:
Practice Address - Street 1:500 HORIZON DR STE 505
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3962
Practice Address - Country:US
Practice Address - Phone:215-858-7867
Practice Address - Fax:267-873-5787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009877111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty