Provider Demographics
NPI:1750402178
Name:BRINZER, THOMAS ARTHUR (DC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:ARTHUR
Last Name:BRINZER
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 1:1035 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-8493
Mailing Address - Country:US
Mailing Address - Phone:724-449-1171
Mailing Address - Fax:724-449-1157
Practice Address - Street 1:1035 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-8493
Practice Address - Country:US
Practice Address - Phone:724-449-1171
Practice Address - Fax:724-449-1157
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor