Provider Demographics
NPI:1164631974
Name:ROANOKE CHIROPRACTIC HEALTH CENTER,INC.
Entity Type:Organization
Organization Name:ROANOKE CHIROPRACTIC HEALTH CENTER,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:OZROVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-375-6686
Mailing Address - Street 1:511 ROANOKE BLVD
Mailing Address - Street 2:STE 1
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-5006
Mailing Address - Country:US
Mailing Address - Phone:540-375-6686
Mailing Address - Fax:540-375-6686
Practice Address - Street 1:511 ROANOKE BLVD
Practice Address - Street 2:STE 1
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-5006
Practice Address - Country:US
Practice Address - Phone:540-375-6686
Practice Address - Fax:540-375-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty