Healthcare Provider Details

I. General information

NPI: 1487679296
Provider Name (Legal Business Name): RONALD M MEGEE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2507 EAST HATCH RD. SUITE B
MODESTO CA
95351
US

IV. Provider business mailing address

2507 EAST HATCH RD. SUITE B
MODESTO CA
95351
US

V. Phone/Fax

Practice location:
  • Phone: 209-537-4515
  • Fax: 209-537-1354
Mailing address:
  • Phone: 209-537-4515
  • Fax: 209-537-1354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15840
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: