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NPI Code Detail

MEDICARE: JAMES RIPPA DC

MEDICARE: JAMES RIPPA 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
1111N00000XChiropractor3031MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15672041OTHERFIRST HEALTH NETWORK
27006739OTHERAETNA
3Y37110OTHERMABCBS OF MASSACHUSETTS
4001906871-005OTHERUNITED HEALTHCARE
5796434OTHERCONNECTICARE OF MA
64315902OTHERCIGNA
7692980OTHERACN/HEALTH NEW ENGLAND
8AA76065OTHERMAHARVARD PILGRIM

General Provider Information

NPI Number : 1518919471
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES RIPPA DC
Provider Business Mailing Address
First Line : 2396 EDGEWOOD AVE N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32254-1725
Country : US
Telephone Number : 904-781-2300
Fax Number : 904-781-3502
Provider Business Practice Location Address
First Line : 2396 EDGEWOOD AVE N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32254-1725
Country : US
Telephone Number : 904-781-2300
Fax Number : 904-781-3502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 03/27/2023

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