Provider Demographics
NPI:1467563684
Name:RIPPY, NANCY GAIL (DC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:GAIL
Last Name:RIPPY
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 1:202 W AMERIGE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1807
Mailing Address - Country:US
Mailing Address - Phone:714-525-0291
Mailing Address - Fax:714-525-9570
Practice Address - Street 1:202 W AMERIGE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1807
Practice Address - Country:US
Practice Address - Phone:714-525-0291
Practice Address - Fax:714-525-9570
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ28202ZOtherBLUE SHIELD INS.
ZZZ28202ZOtherBLUE SHIELD INS.