Provider Demographics
NPI:1942238381
Name:RAMSEY, ROSS DALE (DC)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:DALE
Last Name:RAMSEY
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 1:122 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:LA
Mailing Address - Zip Code:71463-2616
Mailing Address - Country:US
Mailing Address - Phone:318-335-1000
Mailing Address - Fax:318-335-1006
Practice Address - Street 1:122 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-2616
Practice Address - Country:US
Practice Address - Phone:318-335-1000
Practice Address - Fax:318-335-1006
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1390111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAV07480Medicare UPIN
LA4H699Medicare ID - Type Unspecified