Provider Demographics
NPI:1265533632
Name:DENNIS T. REHRIG DC PC
Entity type:Organization
Organization Name:DENNIS T. REHRIG DC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE & INSURANCE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-566-9040
Mailing Address - Street 1:200 E STATE ST
Mailing Address - Street 2:STE 104
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3434
Mailing Address - Country:US
Mailing Address - Phone:610-566-9040
Mailing Address - Fax:610-566-9038
Practice Address - Street 1:200 E STATE ST
Practice Address - Street 2:STE 104
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3434
Practice Address - Country:US
Practice Address - Phone:610-566-9040
Practice Address - Fax:610-566-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001694L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5133326OtherAETNA NON HMO GROUP
PA2357837000OtherKEYSTONE HMO GROUP
PA0032840000OtherKEYSTONE ID
PA4396993OtherAETNA NON HMO ID
PA1682206OtherPERSONAL CHOICE GROUP
PA17511OtherPERSONAL CHOICE ID
PA3732747OtherAETNA HMO GROUP
PA51864OtherAETNA ID
PA2357837000OtherKEYSTONE HMO GROUP
PA17511OtherPERSONAL CHOICE ID
PAT27074Medicare UPIN