Individual
DR. WILLEM ALBERT JOHAN ROELOFSEN IV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1231 MAPLE AVE SW, ROANOKE, VA 24016-4707
(540) 342-9445
(540) 342-9446
Mailing address
1231 MAPLE AVE SW, ROANOKE, VA 24016-4707
(540) 342-9445
(540) 342-9446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000604
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0638226001
CIGNA HEALTHCARE
VA
01
—
453587
BC/BS
VA
01
—
7147395
AETNA
VA
Enumeration date
05/10/2006
Last updated
07/08/2007
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