Provider Demographics
NPI:1588801476
Name:RODSATER FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:RODSATER FAMILY CHIROPRACTIC PLLC
Other - Org Name:ADJUSTING THE WORLD CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:RODSATER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-895-7227
Mailing Address - Street 1:16419 NORTHCROSS DR
Mailing Address - Street 2:SUITE-C
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5004
Mailing Address - Country:US
Mailing Address - Phone:704-895-7227
Mailing Address - Fax:704-895-9565
Practice Address - Street 1:16419 NORTHCROSS DR
Practice Address - Street 2:SUITE-C
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5004
Practice Address - Country:US
Practice Address - Phone:704-895-7227
Practice Address - Fax:704-895-9565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3896261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service