Provider Demographics
NPI:1699716811
Name:KUBIT, BRIAN EVAN (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:EVAN
Last Name:KUBIT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 OLD FARM DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2353
Mailing Address - Country:US
Mailing Address - Phone:412-798-4114
Mailing Address - Fax:
Practice Address - Street 1:1014 UNITY CENTER RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-1857
Practice Address - Country:US
Practice Address - Phone:412-704-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC 05886L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor