Provider Demographics
NPI:1639131402
Name:RAMERMAN, ROY KENNETH (DC)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:KENNETH
Last Name:RAMERMAN
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:PO BOX 2964
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95063-2964
Mailing Address - Country:US
Mailing Address - Phone:831-423-3492
Mailing Address - Fax:831-423-3492
Practice Address - Street 1:344 MYRTLE ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4942
Practice Address - Country:US
Practice Address - Phone:831-423-3492
Practice Address - Fax:831-423-3492
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor