Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH-5575 | CO |
N | 111NX0800X | Chiropractor Orthopedic Specialist | CH00034437 | WA |
NPI | 1376661439 |
---|---|
Provider Name | Dr. Ronald Lee Ramos |
First Address | Burlington, CO 80807-1607 |
Second Address | Burlington, CO 80807-1607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 23/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0206714 | LABOR & IND- WORK COMP (01) | WA |
4247RA | REGENCE BLUE SHIELD (01) | WA |