Provider Demographics
NPI:1225030158
Name:RAMALEY, DAVID GIBBS (DC, ND)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GIBBS
Last Name:RAMALEY
Suffix:
Gender:M
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12345 ROOSEVELT WAY NE
Mailing Address - Street 2:STE 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6151
Mailing Address - Country:US
Mailing Address - Phone:206-306-7797
Mailing Address - Fax:206-306-0037
Practice Address - Street 1:12345 ROOSEVELT WAY NE
Practice Address - Street 2:SUITE 101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6151
Practice Address - Country:US
Practice Address - Phone:206-306-7797
Practice Address - Fax:206-306-0037
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH2871111N00000X
WANT805175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8802090Medicare ID - Type UnspecifiedCHIROPRACTOR