Provider Demographics
NPI:1518214048
Name:RIGGLEMAN, ERICA K (DC)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:K
Last Name:RIGGLEMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:K
Other - Last Name:WITGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:611 W JUBAL EARLY DR STE A
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6501
Mailing Address - Country:US
Mailing Address - Phone:540-678-1212
Mailing Address - Fax:540-678-1123
Practice Address - Street 1:611 W JUBAL EARLY DR STE A
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6501
Practice Address - Country:US
Practice Address - Phone:540-678-1212
Practice Address - Fax:540-678-1123
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556978111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor