Provider Demographics
NPI:1417582081
Name:CIBIK, TED
Entity type:Individual
Prefix:
First Name:TED
Middle Name:
Last Name:CIBIK
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:TED
Other - Middle Name:
Other - Last Name:CIBIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, ND, DMQ
Mailing Address - Street 1:825 LOVERS LEAP RD
Mailing Address - Street 2:
Mailing Address - City:LEECHBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15656-8836
Mailing Address - Country:US
Mailing Address - Phone:724-845-1041
Mailing Address - Fax:724-845-7739
Practice Address - Street 1:825 LOVERS LEAP RD
Practice Address - Street 2:
Practice Address - City:LEECHBURG
Practice Address - State:PA
Practice Address - Zip Code:15656-8836
Practice Address - Country:US
Practice Address - Phone:724-845-1041
Practice Address - Fax:724-845-7739
Is Sole Proprietor?:No
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No174H00000XOther Service ProvidersHealth Educator
No175F00000XOther Service ProvidersNaturopath