Provider Demographics
NPI:1467525329
Name:PLASKA, RONALD JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOHN
Last Name:PLASKA
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 1:1465 ENCINITAS BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2951
Mailing Address - Country:US
Mailing Address - Phone:760-943-8224
Mailing Address - Fax:
Practice Address - Street 1:1465 ENCINITAS BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2951
Practice Address - Country:US
Practice Address - Phone:760-943-8224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13646111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU43626Medicare UPIN
CADC13646Medicare ID - Type Unspecified