| J. S. Rothrock, Llc | |
|
228 Lee Dr Waynesboro VA 22980-1505 | |
| (719) 775-6222 | |
| Not Available |
| Full Name | J. S. Rothrock, Llc |
|---|---|
| Speciality | Counselor |
| Location | 228 Lee Dr, Waynesboro, Virginia |
| Authorized Official Name and Position | James Samuel Rothrock (OWNER) |
| Authorized Official Contact | 7197756222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. S. Rothrock, Llc 228 Lee Dr Waynesboro VA 22980-1505 Ph: (719) 775-6222 | J. S. Rothrock, Llc 228 Lee Dr Waynesboro VA 22980-1505 Ph: (719) 775-6222 |
| NPI Number | 1609690932 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 3870028509 |
|---|---|
| Medicare Enrollment ID | O20241119000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609690932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | James Rothrock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407561400 PECOS PAC ID: 1355880766 Enrollment ID: I20241119001069 |
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