Provider Demographics
NPI:1174835367
Name:RS JOINT VENTURE LLC
Entity type:Organization
Organization Name:RS JOINT VENTURE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-902-1554
Mailing Address - Street 1:1780 N MARKET ST
Mailing Address - Street 2:STE B
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4300
Mailing Address - Country:US
Mailing Address - Phone:301-378-0334
Mailing Address - Fax:301-378-0238
Practice Address - Street 1:1780 N MARKET ST
Practice Address - Street 2:STE B
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4300
Practice Address - Country:US
Practice Address - Phone:301-378-0334
Practice Address - Fax:301-378-0238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-05
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty