Provider Demographics
NPI:1285645762
Name:RIPLEY, RICHARD SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SCOTT
Last Name:RIPLEY
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 1:801 W. LANCASTER AVE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335
Mailing Address - Country:US
Mailing Address - Phone:610-269-6428
Mailing Address - Fax:
Practice Address - Street 1:801 W LANCASTER AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2474
Practice Address - Country:US
Practice Address - Phone:610-269-6428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003091L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2368310000OtherKEYSTONE 65
PA0278908000OtherPERSONAL CHOICE
PA232586189OtherDEVON HEALTH
PA2368310000OtherAMERIHEALTH
PA5661045OtherAETNA
PA2368310000OtherKEYSTONE HEALTH PLAN EAST
PARI1695332OtherBLUE CROSS BLUE SHIELD
PA2368310000OtherKEYSTONE 65
PA2368310000OtherAMERIHEALTH