Individual
DR. RONALD G SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
700 EAGLE RIDGE RD, LE CLAIRE, IA 52753-9593
(563) 289-3242
(563) 289-4541
Mailing address
700 EAGLE RIDGE RD, LE CLAIRE, IA 52753-9593
(563) 289-3242
(563) 289-4541
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
AO5839
IA
111NX0800X
Orthopedic Chiropractor
AO5839
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132407
—
IA
01
—
50512
BLUE CROSS BLUE SHEILD
IA
Enumeration date
06/10/2005
Last updated
05/13/2022
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