Healthcare Provider Details

I. General information

NPI: 1093080400
Provider Name (Legal Business Name): ROCKINGHAM CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2012
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1589 PORT REPUBLIC RD SUITE 1
HARRISONBURG VA
22801-3517
US

IV. Provider business mailing address

1589 PORT REPUBLIC RD SUITE 1
HARRISONBURG VA
22801-3517
US

V. Phone/Fax

Practice location:
  • Phone: 540-437-2322
  • Fax: 540-437-2321
Mailing address:
  • Phone: 540-437-2322
  • Fax: 540-437-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556863
License Number StateVA

VIII. Authorized Official

Name: DR. GABRIEL S THOMAS
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 540-437-2322