Provider Demographics
NPI:1679932438
Name:RANSONET CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:RANSONET CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:RANSONET
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-828-5912
Mailing Address - Street 1:7902 NE ST JOHNS RD STE 105E
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-1094
Mailing Address - Country:US
Mailing Address - Phone:360-828-5912
Mailing Address - Fax:360-828-7285
Practice Address - Street 1:7902 NE ST JOHNS RD STE 105E
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-1094
Practice Address - Country:US
Practice Address - Phone:360-828-5912
Practice Address - Fax:360-828-7285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60210457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA355049OtherDEPARTMENT OF LABOR & INDUSTRIES