Provider Demographics
NPI:1376683490
Name:RAM DC INC
Entity Type:Organization
Organization Name:RAM DC INC
Other - Org Name:DISCOVER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-772-4545
Mailing Address - Street 1:21 W COMMERCE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-9289
Mailing Address - Country:US
Mailing Address - Phone:208-772-4545
Mailing Address - Fax:208-772-4550
Practice Address - Street 1:21 W COMMERCE DR
Practice Address - Street 2:SUITE B
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-9289
Practice Address - Country:US
Practice Address - Phone:208-772-4545
Practice Address - Fax:208-772-4550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA 1154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty