Provider Demographics
NPI:1437197118
Name:ROLLMAN CHIROPRACTIC
Entity Type:Organization
Organization Name:ROLLMAN CHIROPRACTIC
Other - Org Name:BETTER HEALTH BY DESIGN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROLLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-751-4088
Mailing Address - Street 1:8263 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4615
Mailing Address - Country:US
Mailing Address - Phone:623-487-1500
Mailing Address - Fax:623-487-1301
Practice Address - Street 1:8263 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4615
Practice Address - Country:US
Practice Address - Phone:623-487-1500
Practice Address - Fax:623-487-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty