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NPI Code Detail

MEDICARE: RODULFO CHIROPRACTIC PLLC

MEDICARE: RODULFO CHIROPRACTIC PLLC
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
1111NS0005XSports Physician Chiropractor3242NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1085UROTHERNCBCBS

General Provider Information

NPI Number : 1649298217
Entity Type Code : Organization
Provider Name (Legal Business Name) : RODULFO CHIROPRACTIC PLLC
Provider Business Mailing Address
First Line : 4113 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1889
Country : US
Telephone Number : 336-235-4530
Fax Number : 336-235-0754
Provider Business Practice Location Address
First Line : 4113 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1889
Country : US
Telephone Number : 336-660-0019
Fax Number : 336-235-0754
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. DAMIEN JUDE RODULFO
Credential : DC
Telephone Number : 336-235-4530
Provider Enumeration Date : 07/18/2006
Last Update Date : 04/17/2025

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Directions to “RODULFO CHIROPRACTIC PLLC ” Practice Location

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