Individual
DR. RON ROSNERMANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C. PLLC
Contact information
Practice address
1200 FERGUSON DR, SUITE 2, BENTON, AR 72015-3503
(501) 315-3310
(501) 315-9262
Mailing address
1200 FERGUSON DR, SUITE 2, BENTON, AR 72015-3503
(501) 315-3310
(501) 315-9262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1460
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396805818
RAILROAD MEDICARE - GROUP NPI
AR
01
—
1538120951
RAILROAD MEDICARE - MEMBER NPI
AR
01
—
19906000040
QUALCHOICE/QCA
AR
01
—
4420065
UNITED HEALTHCARE
AR
01
—
5T636
BLUE CROSS BLUE SHIELD
AR
01
—
DP1248
RAILROAD MEDICARE - GROUP PTAN
AR
Enumeration date
03/28/2006
Last updated
09/12/2023
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