Provider Demographics
NPI:1871661439
Name:RONALD SPALLONE DC PC
Entity Type:Organization
Organization Name:RONALD SPALLONE DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SPALLONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-980-5699
Mailing Address - Street 1:3500 S WADSWORTH BLVD
Mailing Address - Street 2:#302
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2019
Mailing Address - Country:US
Mailing Address - Phone:303-980-5699
Mailing Address - Fax:
Practice Address - Street 1:3500 S WADSWORTH BLVD
Practice Address - Street 2:#302
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2019
Practice Address - Country:US
Practice Address - Phone:303-980-5699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty