Ronald Lee Prouty in Pine River - Chiropractor
Ronald Lee Prouty - NPI 1700998655
Ronald Lee Prouty is a Chiropractor in Pine River, Minnesota. Ronald Lee Prouty practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ronald Lee Prouty is 1700998655. The last update date is 2011-12-27.
Ronald Lee Prouty's current location address is Po Box 487, Pine River, Minnesota. You can contact this provider via phone number 2185874681 and fax number 2185874290. The mailing address for Ronald Lee Prouty is Po Box 487, Pine River, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Lee Prouty |
|---|---|
| Address | Po Box 487, Pine River, Minnesota |
| Phone Number | 2185874681 |
| Fax Number | 2185874290 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1700998655 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2011-12-27 |
Provider Mailing Address Detail
| Address | Po Box 487 |
|---|---|
| City | Pine River |
| State | Minnesota (MN) |
| Post Code | 564740487 |
| Phone Number | 2185874681 |
| Fax Number | 2185874290 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2553 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44G58PR | BCBS | ||
| 46G64PR | BCBS | ||
| 631528300 | MN | -- |
Post Comment/ Review Below
What is the Ronald Lee Prouty's unique identification number?
The Ronald Lee Prouty has been assigned the NPI (National Provider Identifier) Number 1700998655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Ronald Lee Prouty is geographically located?
The Ronald Lee Prouty is physically situated at the following location: Po Box 487, Pine River, MN, 564740487.
What is the Ronald Lee Prouty's specialty and taxonomy code?
The Ronald Lee Prouty's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700998655 to Ronald Lee Prouty?
The Centers for Medicare & Medicaid Services assigned the 1700998655 to Ronald Lee Prouty on 2006-08-31.
As of what date were the details pertaining to Ronald Lee Prouty last refreshed?
The information related to the Ronald Lee Prouty, including its address, specialty, and other relevant details, was last updated on 2011-12-27.
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