Provider Demographics
NPI:1235178120
Name:HOYLE, RONALD S (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:HOYLE
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 1:2600 FORUM BLVD
Mailing Address - Street 2:SUITE #B-1
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-6343
Mailing Address - Country:US
Mailing Address - Phone:573-447-2500
Mailing Address - Fax:573-447-2520
Practice Address - Street 1:2600 FORUM BLVD
Practice Address - Street 2:SUITE #B-1
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-6343
Practice Address - Country:US
Practice Address - Phone:573-447-2500
Practice Address - Fax:573-447-2520
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002008901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000032160Medicare ID - Type UnspecifiedMEDICARE PROVIDER #