Provider Demographics
NPI:1699982306
Name:THOMAS T ROHRICK PC
Entity type:Organization
Organization Name:THOMAS T ROHRICK PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:T
Authorized Official - Last Name:ROHRICK
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:308-635-8190
Mailing Address - Street 1:21 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-2000
Mailing Address - Country:US
Mailing Address - Phone:308-635-8190
Mailing Address - Fax:306-635-3226
Practice Address - Street 1:21 E 20TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-2000
Practice Address - Country:US
Practice Address - Phone:308-635-8190
Practice Address - Fax:308-635-8190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09747OtherBLUE CROSS BLUE SHIELD
NE350043968OtherRR MEDICARE
NE09747OtherBLUE CROSS BLUE SHIELD
NE271160Medicare ID - Type Unspecified