Provider Demographics
NPI:1720867575
Name:DANIELLE RONNER ACUPUNCTURE, INC
Entity Type:Organization
Organization Name:DANIELLE RONNER ACUPUNCTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RONNER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:831-332-2210
Mailing Address - Street 1:1422 N HANCOCK AVE STE 5S
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2670
Mailing Address - Country:US
Mailing Address - Phone:719-520-5056
Mailing Address - Fax:
Practice Address - Street 1:1422 N HANCOCK AVE STE 5S
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2670
Practice Address - Country:US
Practice Address - Phone:719-520-5056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty