Provider Demographics
NPI:1295828002
Name:HERRSCHE, RONALD H (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:H
Last Name:HERRSCHE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4393 WINDMILL POINT RD
Mailing Address - Street 2:
Mailing Address - City:WHITE STONE
Mailing Address - State:VA
Mailing Address - Zip Code:22578-3108
Mailing Address - Country:US
Mailing Address - Phone:804-435-3740
Mailing Address - Fax:
Practice Address - Street 1:4393 WINDMILL POINT RD
Practice Address - Street 2:
Practice Address - City:WHITE STONE
Practice Address - State:VA
Practice Address - Zip Code:22578-3108
Practice Address - Country:US
Practice Address - Phone:804-435-3740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA102248OtherANTHEM
U43815Medicare UPIN
VA00W361W01Medicare PIN