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NPI Code Detail

MEDICARE: DOCTORS' CHIORPRACTIC & REHAB.,PC

MEDICARE: DOCTORS' CHIORPRACTIC & REHAB.,PC
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
1111N00000XChiropractor0104000789VA

General Provider Information

NPI Number : 1356354716
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS' CHIORPRACTIC & REHAB.,PC
Provider Business Mailing Address
First Line : 3536 GROVE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2200
Country : US
Telephone Number : 804-359-1768
Fax Number : 804-359-8344
Provider Business Practice Location Address
First Line : 3536 GROVE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2200
Country : US
Telephone Number : 804-359-1768
Fax Number : 804-359-8344
Authorized Official
Title or Position : PRESIDENT / 50 OWNER
Name : WILLIAM U ROODMAN
Credential : DC
Telephone Number : 804-359-1768
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/21/2022

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Directions to “DOCTORS' CHIORPRACTIC & REHAB.,PC ” Practice Location

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