Provider Demographics
NPI:1073579561
Name:CZOP, RONALD (DC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:CZOP
Suffix:
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 1:1067 WHITEMARSH DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4876
Mailing Address - Country:US
Mailing Address - Phone:717-581-1291
Mailing Address - Fax:
Practice Address - Street 1:2532 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2914
Practice Address - Country:US
Practice Address - Phone:717-757-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-2368-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA196990Medicare ID - Type UnspecifiedMEDICARE PROVIDER