MEDICARE: CAPITOL REHAB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	756	WV

General Provider Information

NPI Number	:	1245309798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITOL REHAB

Provider Business Mailing Address
First Line	:	64 SOMERSET BLVD
Second Line	:
City	:	CHARLES TOWN
State	:	WV
Zip	:	25414-4827
Country	:	US
Telephone Number	:	304-728-5066
Fax Number	:	304-728-5074

Provider Business Practice Location Address
First Line	:	64 SOMERSET BLVD
Second Line	:
City	:	CHARLES TOWN
State	:	WV
Zip	:	25414-4827
Country	:	US
Telephone Number	:	304-728-5066
Fax Number	:	304-728-5074

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN WADE ROZIER
Credential	:	DC
Telephone Number	:	304-728-5066

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/22/2020

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Directions to “CAPITOL REHAB ” Practice Location

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