Individual
DR. SCOTT ALLEN RICCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16494 ST. CLAIR AVE, SUITE C, EAST LIVERPOOL, OH 43920-9465
(330) 386-6222
(330) 386-3378
Mailing address
16494 ST. CLAIR AVE, SUITE C, EAST LIVERPOOL, OH 43920-9465
(330) 386-6222
(330) 386-3378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137719
ANTHEM BC/BS PROVIDER ID
—
05
—
0131937000
—
WV
05
—
0928563
—
OH
01
—
622722
HIGHMARK BCBS
—
05
—
9044330
—
OH
Enumeration date
06/16/2005
Last updated
10/05/2011
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