Healthcare Provider Details

I. General information

NPI: 1033195425
Provider Name (Legal Business Name): RONALD R TOHT JR. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5603 HIGH ST W SUITE A
PORTSMOUTH VA
23703-3756
US

IV. Provider business mailing address

5603 HIGH ST W SUITE A
PORTSMOUTH VA
23703-3756
US

V. Phone/Fax

Practice location:
  • Phone: 757-966-2663
  • Fax: 757-966-2993
Mailing address:
  • Phone: 757-966-2663
  • Fax: 757-966-2993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number010400993
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: