Provider Demographics
NPI:1083312516
Name:MCALISTER, RONELLE
Entity Type:Individual
Prefix:MR
First Name:RONELLE
Middle Name:
Last Name:MCALISTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 SPINO DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2043
Mailing Address - Country:US
Mailing Address - Phone:216-780-2365
Mailing Address - Fax:
Practice Address - Street 1:1787 SPINO DR
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-2043
Practice Address - Country:US
Practice Address - Phone:216-780-2365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRT571755342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company