Provider Demographics
NPI:1356520332
Name:RAMOS CHIROPRACTIC CLINIC PLLC
Entity type:Organization
Organization Name:RAMOS CHIROPRACTIC CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-755-9030
Mailing Address - Street 1:127 S SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-1712
Mailing Address - Country:US
Mailing Address - Phone:360-755-9030
Mailing Address - Fax:360-755-9030
Practice Address - Street 1:127 S SPRUCE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-1712
Practice Address - Country:US
Practice Address - Phone:360-755-9030
Practice Address - Fax:360-755-9030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0206714OtherLABOR & INDUSTRIES
WA4247RAOtherREGENCE
WA4247RAOtherREGENCE