Provider Demographics
NPI:1689760308
Name:ROLFS, GEORGE A (CH)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:ROLFS
Suffix:
Gender:M
Credentials:CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 4TH ST SW STE 205
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-2839
Mailing Address - Country:US
Mailing Address - Phone:828-322-4757
Mailing Address - Fax:828-322-3131
Practice Address - Street 1:231 4TH ST SW STE 205
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-2839
Practice Address - Country:US
Practice Address - Phone:828-322-4757
Practice Address - Fax:828-322-3131
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08773OtherBLUECROSSBLUESHIELD
NC8908773Medicaid
NC8908773Medicaid