Provider Demographics
NPI:1326030321
Name:MUSCHANY, RONALD TERRY (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:TERRY
Last Name:MUSCHANY
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 1:7817 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63111-3622
Mailing Address - Country:US
Mailing Address - Phone:314-638-4511
Mailing Address - Fax:
Practice Address - Street 1:7817 S BROADWAY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63111-3622
Practice Address - Country:US
Practice Address - Phone:314-638-4511
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO003613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T91087Medicare UPIN