Provider Demographics
NPI:1033195425
Name:TOHT, RONALD R JR (DC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:R
Last Name:TOHT
Suffix:JR
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 1:5603 HIGH ST W
Mailing Address - Street 2:SUITE A
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-3756
Mailing Address - Country:US
Mailing Address - Phone:757-966-2663
Mailing Address - Fax:757-966-2993
Practice Address - Street 1:5603 HIGH ST W
Practice Address - Street 2:SUITE A
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-3756
Practice Address - Country:US
Practice Address - Phone:757-966-2663
Practice Address - Fax:757-966-2993
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010400993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T21394Medicare UPIN
350000414Medicare PIN