Provider Demographics
NPI:1740210640
Name:RIGGS, PATRICK XAVIER (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:XAVIER
Last Name:RIGGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 GARDINER LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2737
Mailing Address - Country:US
Mailing Address - Phone:502-451-9541
Mailing Address - Fax:502-452-2848
Practice Address - Street 1:1701 GARDINER LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2737
Practice Address - Country:US
Practice Address - Phone:502-451-9541
Practice Address - Fax:502-452-2848
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000045486OtherANTHEM PROVIDER #
KY6021201Medicare ID - Type UnspecifiedMEDICARE #