Provider Demographics
NPI:1467489690
Name:RANZETTE, DAVID E (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:RANZETTE
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 1:4664 SOUTH BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1003
Mailing Address - Country:US
Mailing Address - Phone:757-490-8555
Mailing Address - Fax:757-490-3838
Practice Address - Street 1:4664 SOUTH BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1003
Practice Address - Country:US
Practice Address - Phone:757-490-8555
Practice Address - Fax:757-490-3838
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104002079111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8916112OtherCIGNA
VA112486OtherBCBS ANTHEM
VA4400741OtherUNITEDHEALTHCARE
VA5239700OtherAETNA
VA253863OtherANTHEM HEALTHKEEPERS
VA19763OtherSENTARA PPO
VA391886617OtherMULTIPLAN
VA00W057P01Medicare PIN
VA8916112OtherCIGNA