DR. JON E. REIBLY (NPI# 1447385059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447385059 |
Entity Type | Individual |
Full Name | DR. JON E. REIBLY |
Credential | D.C. |
Practice Address |
210 Boulevard Peru IN 46970-1620 |
Practice Telephone | 7654738824 |
Practice Fax Number | 7654738825 |
Mailing Telephone | 7654738824 |
Mailing Fax Number | 7654738825 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 08001459A | IN | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM PIN | 000000184945 | 01 |
IN | 100179590A | 05 |
Street Address |
210 BOULEVARD |
City | PERU |
State | IN |
Zip Code | 46970-1620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073858874 | Reibly Chiropractic Inc | Chiropractor | 210 Boulevard, Peru, IN 46970-1620 | 2012-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
Find all providers in zip 46970 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265976641 | Katrina Mcquilkin | Chiropractor | 3815 Progress Blvd Ste C, Peru, IL 61354-1188 | 2016-12-05 |
1477910776 | Vibrant Chiropractic, LLC | Chiropractor | 6247 S Pipe Creek Mill Rd, Peru, IN 46970-7795 | 2016-01-19 |
1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
1407030901 | Will A Zuhira | Chiropractor | 944 4th St, Peru, IL 61354-3614 | 2007-12-20 |
1225232283 | Advanced Integrative Medicine and Chiropractice Wellness Center PC | Chiropractor | 82 E 3rd St, Peru, IN 46970-2213 | 2007-06-13 |
1043335078 | Mark William Larsen | Chiropractor | 7 N Wabash St, Peru, IN 46970-2224 | 2007-03-20 |
1669596011 | Lori Rynke | Chiropractor | 2415 2nd St, Peru, IL 61354-3101 | 2007-03-19 |
1184725269 | Roger T Miller | Chiropractor | 1723 Tenth St, Ste 100, Peru, IL 61354 | 2006-09-25 |
1013014778 | Timothy John Mertes | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-09-17 |
1982610978 | Ryan Jeffrey Smith | Chiropractor | 1104 Peoria St, Peru, IL 61354-2642 | 2006-07-31 |
Find all providers in PERU |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.