Provider Demographics
NPI:1700907615
Name:SINKO, RONALD JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOSEPH
Last Name:SINKO
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 1:4951 AMERICAN BLVD W
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1189
Mailing Address - Country:US
Mailing Address - Phone:952-842-8105
Mailing Address - Fax:952-832-0134
Practice Address - Street 1:4951 AMERICAN BLVD W
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-1189
Practice Address - Country:US
Practice Address - Phone:952-842-8105
Practice Address - Fax:952-832-0134
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN518K5CHOtherBLUE CROSS BLUE SHIELD
MNC03969Medicare ID - Type Unspecified