Provider Demographics
NPI:1295713394
Name:MALONE, RONALD JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JAMES
Last Name:MALONE
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 1:950 CEDAR CROSS RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-7743
Mailing Address - Country:US
Mailing Address - Phone:563-585-0139
Mailing Address - Fax:563-585-0140
Practice Address - Street 1:950 CEDAR CROSS RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7743
Practice Address - Country:US
Practice Address - Phone:563-585-0139
Practice Address - Fax:563-585-0140
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA47710OtherBLUE CROSS BLUE SHIELD
WI38931700Medicaid
IA0181537Medicaid
IAU73956Medicare UPIN
WI38931700Medicaid