Provider Demographics
NPI:1083760904
Name:RONALD D LIGGETT
Entity Type:Organization
Organization Name:RONALD D LIGGETT
Other - Org Name:RON LIGGETT CONSTRUCTION CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CONSTRUCTION CO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:LIGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-369-2402
Mailing Address - Street 1:7483 S 1000 W
Mailing Address - Street 2:
Mailing Address - City:REDKEY
Mailing Address - State:IN
Mailing Address - Zip Code:47373
Mailing Address - Country:US
Mailing Address - Phone:765-369-2402
Mailing Address - Fax:765-369-2402
Practice Address - Street 1:7483 S 1000 W
Practice Address - Street 2:
Practice Address - City:REDKEY
Practice Address - State:IN
Practice Address - Zip Code:47373
Practice Address - Country:US
Practice Address - Phone:765-369-2402
Practice Address - Fax:765-369-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment