Provider Demographics
NPI:1093917288
Name:RIEPENHOFF CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:RIEPENHOFF CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIEPENHOFF
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:419-227-0550
Mailing Address - Street 1:2555 W. BREESE RD.
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-1607
Mailing Address - Country:US
Mailing Address - Phone:419-227-0550
Mailing Address - Fax:419-227-0550
Practice Address - Street 1:2555 W. BREESE RD.
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45806-1607
Practice Address - Country:US
Practice Address - Phone:419-227-0550
Practice Address - Fax:419-227-0550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRI9329241Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER