Provider Demographics
NPI:1265630081
Name:RONALD SALVAGGIONE, DC, PC
Entity Type:Organization
Organization Name:RONALD SALVAGGIONE, DC, PC
Other - Org Name:ALTA VISTA CHIROPRACTIC, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVAGGIONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-598-6955
Mailing Address - Street 1:403 WINDCHIME PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1984
Mailing Address - Country:US
Mailing Address - Phone:719-598-6955
Mailing Address - Fax:719-598-7157
Practice Address - Street 1:403 WINDCHIME PL
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1984
Practice Address - Country:US
Practice Address - Phone:719-598-6955
Practice Address - Fax:719-598-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC808888Medicare PIN