Provider Demographics
NPI:1568856870
Name:R ROFF CHIROPRACTIC SERVICES, PLLC
Entity Type:Organization
Organization Name:R ROFF CHIROPRACTIC SERVICES, PLLC
Other - Org Name:ROFF CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:ROLAN
Authorized Official - Last Name:ROFF
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:910-324-7633
Mailing Address - Street 1:785-2 W CORBETT AVE
Mailing Address - Street 2:
Mailing Address - City:SWANSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28584-9023
Mailing Address - Country:US
Mailing Address - Phone:910-325-7129
Mailing Address - Fax:910-325-7299
Practice Address - Street 1:785-2 W CORBETT AVE
Practice Address - Street 2:
Practice Address - City:SWANSBORO
Practice Address - State:NC
Practice Address - Zip Code:28584-9023
Practice Address - Country:US
Practice Address - Phone:910-325-7129
Practice Address - Fax:910-325-7299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty