Provider Demographics
NPI:1588675995
Name:RIPLEY CHIROPRACTIC & WELLNESS CENTER, P.C.
Entity Type:Organization
Organization Name:RIPLEY CHIROPRACTIC & WELLNESS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:RIPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-269-6428
Mailing Address - Street 1:801 W LANCASTER AVE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2474
Mailing Address - Country:US
Mailing Address - Phone:610-269-6428
Mailing Address - Fax:
Practice Address - Street 1:801 W LANCASTER AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2474
Practice Address - Country:US
Practice Address - Phone:610-269-6428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003091L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2368310000OtherINDEPENDENCE BLUE CROSS
PARI1695332OtherBLUE CROSS BLUE SHIELD
PARI182953Medicare ID - Type Unspecified