Healthcare Provider Details

I. General information

NPI: 1376645390
Provider Name (Legal Business Name): RICHARD ANTHONY RAMOS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 04/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 5TH ST
BURLINGTON CO
80807-1930
US

IV. Provider business mailing address

PO BOX 176
BURLINGTON CO
80807-0176
US

V. Phone/Fax

Practice location:
  • Phone: 719-346-7993
  • Fax: 719-325-7425
Mailing address:
  • Phone: 719-346-7993
  • Fax: 719-325-7425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4188
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: