Provider Demographics
NPI:1124029483
Name:LABARBERA, RICHARD JOHN THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOHN THOMAS
Last Name:LABARBERA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 FRANKLIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1280
Mailing Address - Country:US
Mailing Address - Phone:540-483-1811
Mailing Address - Fax:540-484-1538
Practice Address - Street 1:1035 FRANKLIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1280
Practice Address - Country:US
Practice Address - Phone:540-483-1811
Practice Address - Fax:540-484-1538
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA274097OtherANTHEM
VA274097OtherANTHEM