Provider Demographics
NPI:1932340809
Name:RONALD DE JONG DC PC
Entity Type:Organization
Organization Name:RONALD DE JONG DC PC
Other - Org Name:SYNERGY SPINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:DEJONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-387-0474
Mailing Address - Street 1:6841 VIRGINIA PKWY
Mailing Address - Street 2:STE. 103, #356
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5710
Mailing Address - Country:US
Mailing Address - Phone:940-387-0474
Mailing Address - Fax:940-387-0547
Practice Address - Street 1:2817 S MAYHILL RD
Practice Address - Street 2:STE. 100
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-5966
Practice Address - Country:US
Practice Address - Phone:940-387-0474
Practice Address - Fax:940-387-0547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty