Provider Demographics
NPI:1366546400
Name:YOW, RONALD STEVEN (DC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:STEVEN
Last Name:YOW
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:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:ASH FLAT
Mailing Address - State:AR
Mailing Address - Zip Code:72513
Mailing Address - Country:US
Mailing Address - Phone:870-994-7550
Mailing Address - Fax:870-994-7293
Practice Address - Street 1:121 HWY 62 W
Practice Address - Street 2:
Practice Address - City:ASH FLAT
Practice Address - State:AR
Practice Address - Zip Code:72513
Practice Address - Country:US
Practice Address - Phone:870-994-7550
Practice Address - Fax:870-994-7293
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350038332OtherRAILROAD MEDICARE
AR5S662OtherBLUE CROSS BLUE SHIELD
U31123Medicare UPIN
AR5S662Medicare ID - Type Unspecified