1225183254 NPI number — JOHN R RING DC PA

Table of content: (NPI 1225183254)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225183254 NPI number — JOHN R RING DC PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN R RING DC PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
OLNEY CHIROPRACTIC CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225183254
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2701 OLNEY SANDY SPRING RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLNEY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20832-1615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-774-0081
Provider Business Mailing Address Fax Number:
301-774-2936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2701 OLNEY SANDY SPRING RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLNEY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20832-1615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-774-0081
Provider Business Practice Location Address Fax Number:
301-774-2936
Provider Enumeration Date:
01/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RING
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
ROBERT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
301-774-0081

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 257845 . This is a "MAMSI HMO PPO MLP ONE NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0483203 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5409459 . This is a "AETNA PPO EPO POS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8305 . This is a "CAREFIRST" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: G00752 . This is a "PTAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: LW72 . This is a "CAREFIRST" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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