Basic Information
Provider Information
NPI: 1073681565
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIFFLE
FirstName: CURTIS
MiddleName: P
NamePrefix: DR.
NameSuffix:  
Credential: DC.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P.O. BOX 849
Address2:  
City: TWINSBURG
State: OH
PostalCode: 44087
CountryCode: US
TelephoneNumber: 2164759977
FaxNumber: 2164759969
Practice Location
Address1: 4919 WARRENSVILLE CENTER RD.
Address2:  
City: WARRENVILLE HTS
State: OH
PostalCode: 44128
CountryCode: US
TelephoneNumber: 2164759977
FaxNumber: 2164759969
Other Information
ProviderEnumerationDate: 12/01/2006
LastUpdateDate: 12/02/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000XDC009514PAN Chiropractic ProvidersChiropractor 
111N00000X4371OHY Chiropractic ProvidersChiropractor 

No ID Information.


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