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NPI Code Detail

MEDICARE: DR. BRIAN EDWARD TRIEB D.C.

MEDICARE:  DR. BRIAN EDWARD TRIEB  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH10564FL

General Provider Information

NPI Number : 1265705636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN EDWARD TRIEB D.C.
Provider Business Mailing Address
First Line : 26 N BEACH ST STE B
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5656
Country : US
Telephone Number : 386-673-0201
Fax Number : 386-677-8143
Provider Business Practice Location Address
First Line : 26 N BEACH ST STE B
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5656
Country : US
Telephone Number : 386-673-0201
Fax Number : 386-677-8143
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2012
Last Update Date : 04/20/2012

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Directions to “ DR. BRIAN EDWARD TRIEB D.C.” Practice Location

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