Provider Demographics
NPI:1689950156
Name:ROFF AND SCHILSKY CHIROPRACTIC CENTER, PA
Entity Type:Organization
Organization Name:ROFF AND SCHILSKY CHIROPRACTIC CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUEZEN
Authorized Official - Middle Name:ROFF
Authorized Official - Last Name:SCHILSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-340-7088
Mailing Address - Street 1:200 E ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-2516
Mailing Address - Country:US
Mailing Address - Phone:843-340-7088
Mailing Address - Fax:843-841-9884
Practice Address - Street 1:200 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2516
Practice Address - Country:US
Practice Address - Phone:843-340-7088
Practice Address - Fax:843-841-9884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty