Provider Demographics
NPI:1841251915
Name:RIZZOTTO, HELEN F (DC)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:F
Last Name:RIZZOTTO
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 1:3621 EBERHART RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3629
Mailing Address - Country:US
Mailing Address - Phone:610-264-2222
Mailing Address - Fax:610-264-4696
Practice Address - Street 1:3621 EBERHART RD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3629
Practice Address - Country:US
Practice Address - Phone:610-264-2222
Practice Address - Fax:610-264-4696
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004396L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC004396LOtherLICENSE
PARI611156Medicare PIN
PADC004396LOtherLICENSE