Provider Demographics
NPI:1477854974
Name:RIPSLINGER FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:RIPSLINGER FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:RIPSLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-359-1455
Mailing Address - Street 1:4217 N RIPLEY ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-4212
Mailing Address - Country:US
Mailing Address - Phone:563-359-1455
Mailing Address - Fax:563-359-1498
Practice Address - Street 1:4217 N RIPLEY ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-4212
Practice Address - Country:US
Practice Address - Phone:563-359-1455
Practice Address - Fax:563-359-1498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB1982Medicare PIN