Provider Demographics
NPI:1295821783
Name:ARCONATI, RONALD VINCENT (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:VINCENT
Last Name:ARCONATI
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 1:5684 TELEGRAPH ROAD
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129
Mailing Address - Country:US
Mailing Address - Phone:314-846-2100
Mailing Address - Fax:314-846-4975
Practice Address - Street 1:5684 TELEGRAPH ROAD
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129
Practice Address - Country:US
Practice Address - Phone:314-846-2100
Practice Address - Fax:314-846-4975
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOU81762Medicare UPIN