Healthcare Provider Details

I. General information

NPI: 1053370486
Provider Name (Legal Business Name): JOHN RIGBY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N 2ND ST
MUSCODA WI
53573-9258
US

IV. Provider business mailing address

PO BOX 405 302 N. 2ND ST
MUSCODA WI
53573-0405
US

V. Phone/Fax

Practice location:
  • Phone: 608-575-0708
  • Fax:
Mailing address:
  • Phone: 608-575-0708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: