Individual
DR. CAROLINE LEE RISSACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3215 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4451
(772) 692-7899
(772) 692-7891
Mailing address
3215 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4451
(772) 692-7899
(772) 692-7891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70173
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/18/2007
Last updated
07/08/2007
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