Provider Demographics
NPI:1104928936
Name:ALCERRO, RAMON JR (DC)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:ALCERRO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 STATE ST
Mailing Address - Street 2:# A
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2556
Mailing Address - Country:US
Mailing Address - Phone:805-899-2177
Mailing Address - Fax:805-965-7020
Practice Address - Street 1:1520 STATE ST
Practice Address - Street 2:# A
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2556
Practice Address - Country:US
Practice Address - Phone:805-899-2177
Practice Address - Fax:805-965-7020
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0222710Medicaid
CADC22271Medicare ID - Type Unspecified
CADC22271Medicare UPIN