Provider Demographics
NPI:1376661439
Name:RAMOS, RONALD LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
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 1:395 14TH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80807-1607
Mailing Address - Country:US
Mailing Address - Phone:720-989-9377
Mailing Address - Fax:
Practice Address - Street 1:395 14TH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80807-1607
Practice Address - Country:US
Practice Address - Phone:720-989-9377
Practice Address - Fax:719-346-8742
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034437111NX0800X
COCH-5575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4247RAOtherREGENCE BLUE SHIELD
WA0206714OtherLABOR & IND- WORK COMP
WA4247RAOtherREGENCE BLUE SHIELD
WA8859451Medicare ID - Type Unspecified