Philip James Mollica in Roanoke - Chiropractor

Philip James Mollica - NPI 1073568432

Philip James Mollica is a Chiropractor in Roanoke, Virginia. Philip James Mollica practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Philip James Mollica is 1073568432. The last update date is 2010-07-09.

Philip James Mollica's current location address is 2502 Broadway Ave Sw, Roanoke, Virginia. You can contact this provider via phone number 5403442000 and fax number 5403448573. The mailing address for Philip James Mollica is 2502 Broadway Ave Sw, Roanoke, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Philip James Mollica
Address 2502 Broadway Ave Sw, Roanoke, Virginia
Phone Number 5403442000
Fax Number 5403448573
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1073568432
Provider Enumeration Date 2006-05-24
Last Updated Date 2010-07-09

Provider Mailing Address Detail

Address 2502 Broadway Ave Sw
City Roanoke
State Virginia (VA)
Post Code 24014
Phone Number 5403442000
Fax Number 5403448573

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 104000721
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
460498 ACN GROUP
95316 SOUTHERN HEALTH
4279222 AETNA
241957 VA ANTHEM
1867474 FIRST HEALTH
350038692 RAILROAD MEDICARE
252019 MAMSI ALLIANCE

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FAQs about Philip James Mollica

What is the Philip James Mollica's 1073568432?

The Philip James Mollica's NPI (National Provider Identifier) Number is 1073568432. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Philip James Mollica's physical address?

The Philip James Mollica is physically located at 2502 Broadway Ave Sw, in the city of Roanoke, VA, with the postal code 24014.

What is the area of specialization for Philip James Mollica, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Philip James Mollica is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

When was the Philip James Mollica's 1073568432 issued?

The Philip James Mollica's 1073568432 was issued on 2006-05-24.

As of what date were the details related to Philip James Mollica most recently updated or revised?

The information pertaining to Philip James Mollica, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-09.

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