Provider Demographics
NPI:1891809851
Name:TROSPER, RONALD G (D C)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:G
Last Name:TROSPER
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-1718
Mailing Address - Country:US
Mailing Address - Phone:406-452-7585
Mailing Address - Fax:406-452-7585
Practice Address - Street 1:1500 6TH AVE N
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-1718
Practice Address - Country:US
Practice Address - Phone:406-452-7585
Practice Address - Fax:406-452-7585
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000004067Medicare ID - Type Unspecified