MEDICARE: RIEPENHOFF CHIROPRACTIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3348	OH

General Provider Information

NPI Number	:	1093917288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIEPENHOFF CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	2555 W. BREESE RD.
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45806-1607
Country	:	US
Telephone Number	:	419-227-0550
Fax Number	:	419-227-0550

Provider Business Practice Location Address
First Line	:	2555 W. BREESE RD.
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45806-1607
Country	:	US
Telephone Number	:	419-227-0550
Fax Number	:	419-227-0550

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DONALD J. RIEPENHOFF II
Credential	:	D.C.
Telephone Number	:	419-227-0550

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	08/22/2020

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