Provider Demographics
NPI:1285620872
Name:RIEPENHOFF, DONALD JOHN II (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JOHN
Last Name:RIEPENHOFF
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 N MAIN ST
Mailing Address - Street 2:STE C
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-2879
Mailing Address - Country:US
Mailing Address - Phone:567-712-6312
Mailing Address - Fax:
Practice Address - Street 1:1570 N MAIN ST
Practice Address - Street 2:STE C
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-2879
Practice Address - Country:US
Practice Address - Phone:567-712-6312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2362241Medicaid
OHU92533Medicare UPIN
OHP00096622Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OH2362241Medicaid
OH000000259781OtherANTHEM BC&BS