Provider Demographics
NPI:1639105547
Name:DEMARS, RONALD STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:STEVEN
Last Name:DEMARS
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 1:3801 LAWNDALE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1605
Mailing Address - Country:US
Mailing Address - Phone:336-282-9330
Mailing Address - Fax:336-282-5351
Practice Address - Street 1:3801 LAWNDALE DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-1605
Practice Address - Country:US
Practice Address - Phone:336-282-9330
Practice Address - Fax:336-282-5351
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1256111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908343Medicaid
NC08343OtherBLUE CROSS BLUE SHIELD
NC244353AMedicare ID - Type Unspecified
NC8908343Medicaid