Provider Demographics
NPI:1396076337
Name:AUGER, RYAN VINCENT (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:VINCENT
Last Name:AUGER
Suffix:
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 1:940 CENTER AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BLAWNOX
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3248
Mailing Address - Country:US
Mailing Address - Phone:315-651-5957
Mailing Address - Fax:
Practice Address - Street 1:940 CENTER AVE APT 3
Practice Address - Street 2:
Practice Address - City:BLAWNOX
Practice Address - State:PA
Practice Address - Zip Code:15238-3248
Practice Address - Country:US
Practice Address - Phone:315-651-5957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor