Provider Demographics
NPI:1053582114
Name:BRIAN R. RANSONE, DC, PA
Entity type:Organization
Organization Name:BRIAN R. RANSONE, DC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:RANSONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-847-3122
Mailing Address - Street 1:7116 SIX FORKS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6157
Mailing Address - Country:US
Mailing Address - Phone:919-847-3122
Mailing Address - Fax:919-847-3147
Practice Address - Street 1:7116 SIX FORKS RD
Practice Address - Street 2:SUITE A
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6157
Practice Address - Country:US
Practice Address - Phone:919-847-3122
Practice Address - Fax:919-847-3147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085RYMedicaid
NCV00578Medicare UPIN