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NPI Code Detail

MEDICARE: ROTH CHIROPRACTIC LLC

MEDICARE: ROTH CHIROPRACTIC LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1790634608
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROTH CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : PO BOX 7165
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-0165
Country : US
Telephone Number : 252-347-3955
Fax Number :
Provider Business Practice Location Address
First Line : 101 GARDEN OF EDEN RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-1511
Country : US
Telephone Number : 252-347-3955
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ZACHARY JAMES ROTH
Credential : DC
Telephone Number : 252-347-3955
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ROTH CHIROPRACTIC LLC ” Practice Location

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