Provider Demographics
NPI:1700910528
Name:ROTUNDA CHIROPRACTIC GROUP
Entity Type:Organization
Organization Name:ROTUNDA CHIROPRACTIC GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROTUNDA
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:724-283-4800
Mailing Address - Street 1:200 RENAISSANCE DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5682
Mailing Address - Country:US
Mailing Address - Phone:724-283-4800
Mailing Address - Fax:724-283-1358
Practice Address - Street 1:200 RENAISSANCE DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5682
Practice Address - Country:US
Practice Address - Phone:724-283-4800
Practice Address - Fax:724-283-1358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty