Provider Demographics
NPI:1588996839
Name:ROOD, ERIC BRANDON (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:BRANDON
Last Name:ROOD
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 1:337 HIGH SCHOOL RD
Mailing Address - Street 2:SUITES 1&3
Mailing Address - City:MONTROSE
Mailing Address - State:PA
Mailing Address - Zip Code:18801
Mailing Address - Country:US
Mailing Address - Phone:520-278-0362
Mailing Address - Fax:570-278-9139
Practice Address - Street 1:337 HIGH SCHOOL RD
Practice Address - Street 2:SUITES 1&3
Practice Address - City:MONTROSE
Practice Address - State:PA
Practice Address - Zip Code:18801
Practice Address - Country:US
Practice Address - Phone:570-278-0362
Practice Address - Fax:570-278-9139
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor