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NPI Code Detail

MEDICARE: MR. EVAN C RIGGLEMAN DC

MEDICARE:  MR. EVAN C RIGGLEMAN  DC
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
1111N00000XChiropractor0104557016VA

General Provider Information

NPI Number : 1043560592
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EVAN C RIGGLEMAN DC
Provider Business Mailing Address
First Line : 611 W JUBAL EARLY DR STE A
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-6501
Country : US
Telephone Number : 540-678-1212
Fax Number : 540-678-1123
Provider Business Practice Location Address
First Line : 611 W JUBAL EARLY DR STE A
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-6501
Country : US
Telephone Number : 540-678-1212
Fax Number : 540-678-1123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2012
Last Update Date : 08/12/2014

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Directions to “ MR. EVAN C RIGGLEMAN DC” Practice Location

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