Healthcare Provider Details

I. General information

NPI: 1124317508
Provider Name (Legal Business Name): TOHTAL CHIROPRACTIC CLINIC, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 01/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5603 HIGH ST W
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 Number
License Number StateVA

VIII. Authorized Official

Name: DR. RONALD RICHARD TOHT JR.
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 757-966-2663