Healthcare Provider Details

I. General information

NPI: 1881837565
Provider Name (Legal Business Name): GEORGE REYES GEBHART D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2009
Last Update Date: 04/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 HARVARD DR
WARRINGTON PA
18976-2371
US

IV. Provider business mailing address

PO BOX 123
HORSHAM PA
19044-0123
US

V. Phone/Fax

Practice location:
  • Phone: 215-630-8155
  • Fax:
Mailing address:
  • Phone: 215-630-8155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC003447L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: