Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC008889 | PA |
NPI | 1083799761 |
---|---|
Provider Name | Mr. Brian Christopher Arbuckle |
First Address | Butler, PA 16001-1301 |
Second Address | Butler, PA 16001-1301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |