Provider Demographics
NPI:1467425892
Name:RIGGLE, ERIN E (DC)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:E
Last Name:RIGGLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6247S PIPE CREEK MILL RD
Mailing Address - Street 2:
Mailing Address - City:PERU
Mailing Address - State:IN
Mailing Address - Zip Code:46970-7795
Mailing Address - Country:US
Mailing Address - Phone:765-689-5455
Mailing Address - Fax:
Practice Address - Street 1:6247S PIPE CREEK MILL RD
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:IN
Practice Address - Zip Code:46970-7795
Practice Address - Country:US
Practice Address - Phone:765-689-5455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002050A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200227280AMedicaid
INU96385Medicare UPIN
IN218880BMedicare ID - Type Unspecified