Provider Demographics
NPI:1376645390
Name:RAMOS, RICHARD ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ANTHONY
Last Name:RAMOS
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:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80807-0176
Mailing Address - Country:US
Mailing Address - Phone:719-346-7993
Mailing Address - Fax:719-325-7425
Practice Address - Street 1:209 5TH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80807-1930
Practice Address - Country:US
Practice Address - Phone:719-346-7993
Practice Address - Fax:719-325-7425
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC29753Medicare UPIN