Individual
JUDITH A RIPPERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
824 HUNTINGTON AVE, WARREN, IN 46792-9277
(260) 375-2965
(260) 375-2969
Mailing address
824 HUNTINGTON AVE, WARREN, IN 46792-9277
(260) 375-2965
(260) 375-2969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000347A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00758917
RAILROAD MEDICARE
IN
Enumeration date
04/13/2007
Last updated
11/02/2021
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