Provider Demographics
NPI:1588827471
Name:MASTERS, RONALD OMMEN II (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:OMMEN
Last Name:MASTERS
Suffix:II
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 1:121 S CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3934
Mailing Address - Country:US
Mailing Address - Phone:641-421-1116
Mailing Address - Fax:641-421-1117
Practice Address - Street 1:100 1ST ST NW STE 110
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3172
Practice Address - Country:US
Practice Address - Phone:641-421-1116
Practice Address - Fax:641-421-1117
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor