Provider Demographics
NPI:1609969542
Name:WESTHAMPTON CHIROPRACTIC CENTER P.C.
Entity Type:Organization
Organization Name:WESTHAMPTON CHIROPRACTIC CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:H
Authorized Official - Last Name:HERRSCHE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-288-5409
Mailing Address - Street 1:5409 PATTERSON AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2003
Mailing Address - Country:US
Mailing Address - Phone:804-288-5409
Mailing Address - Fax:804-288-5474
Practice Address - Street 1:5409 PATTERSON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2003
Practice Address - Country:US
Practice Address - Phone:804-288-5409
Practice Address - Fax:804-288-5474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09494Medicare PIN
U43815Medicare UPIN
VA00W361W01Medicare PIN