Individual
ROMAN RATYCZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1120 JOHN HARDEN DR, SUITE D, JACKSONVILLE, AR 72076-3161
(501) 985-0056
(501) 457-0021
Mailing address
1120 JOHN HARDEN DR, SUITE D, JACKSONVILLE, AR 72076-3161
(501) 985-0056
(501) 457-0021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1425
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T436
BLUE CROSS/ BLUE SHIELD
AR
Enumeration date
06/24/2006
Last updated
07/08/2007
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