Provider Demographics
NPI:1306843065
Name:RIGGLEMAN, STEVEN C (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:RIGGLEMAN
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:PO BOX 1395
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1395
Mailing Address - Country:US
Mailing Address - Phone:540-434-8962
Mailing Address - Fax:540-434-8443
Practice Address - Street 1:1340 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3051
Practice Address - Country:US
Practice Address - Phone:540-434-8962
Practice Address - Fax:540-434-8443
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U25381Medicare UPIN
VA350915317Medicare Oscar/Certification