Provider Demographics
NPI:1356493027
Name:ROSA, JOHN PETER (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PETER
Last Name:ROSA
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RESEARCH CT STE 160
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3299
Mailing Address - Country:US
Mailing Address - Phone:301-545-0800
Mailing Address - Fax:301-545-0885
Practice Address - Street 1:1 RESEARCH CT STE 160
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3299
Practice Address - Country:US
Practice Address - Phone:301-545-0800
Practice Address - Fax:301-545-0885
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor