Provider Demographics
NPI:1417044090
Name:VOLIN, RONALD A (DC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:A
Last Name:VOLIN
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 1:201 CAPITOL BEACH BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-1600
Mailing Address - Country:US
Mailing Address - Phone:402-435-1773
Mailing Address - Fax:
Practice Address - Street 1:201 CAPITOL BEACH BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-1600
Practice Address - Country:US
Practice Address - Phone:402-435-1773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025299700Medicaid
NE266908Medicare ID - Type Unspecified
NE10025299700Medicaid