Provider Demographics
NPI:1063503043
Name:THOMAS ZORICH CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:THOMAS ZORICH CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ZORICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-784-9584
Mailing Address - Street 1:906 CIRBY WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4475
Mailing Address - Country:US
Mailing Address - Phone:916-784-9584
Mailing Address - Fax:916-784-1440
Practice Address - Street 1:906 CIRBY WAY
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4475
Practice Address - Country:US
Practice Address - Phone:916-784-9584
Practice Address - Fax:916-784-1440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty