Provider Demographics
NPI:1740362987
Name:VEIRS, RONALD LAURENCE (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LAURENCE
Last Name:VEIRS
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 1:6728 ETIWANDA AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-9309
Mailing Address - Country:US
Mailing Address - Phone:909-899-4219
Mailing Address - Fax:
Practice Address - Street 1:8045 VINEYARD AVE
Practice Address - Street 2:SUITE I-9
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-2300
Practice Address - Country:US
Practice Address - Phone:909-945-9982
Practice Address - Fax:909-945-9982
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 11106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0111061Medicare ID - Type Unspecified