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NPI Code Detail

MEDICARE: CRAIG JOSEPH RIBLEY LPN

MEDICARE: CRAIG JOSEPH RIBLEY LPN
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
1164W00000XLicensed Practical NurseLPN.149462.MEDS-IVOH

General Provider Information

NPI Number : 1417316464
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG JOSEPH RIBLEY LPN
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 513-873-1269
Fax Number :
Provider Business Practice Location Address
First Line : 1505 N COLE ST
Second Line :
City : LIMA
State : OH
Zip : 45801-2432
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2016
Last Update Date : 10/27/2025

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