Provider Demographics
NPI:1083763205
Name:THOMAS F. ZAK, D.C., LLC
Entity Type:Organization
Organization Name:THOMAS F. ZAK, D.C., LLC
Other - Org Name:ZAK PERFORMANCE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-892-2226
Mailing Address - Street 1:30400 DETROIT RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1872
Mailing Address - Country:US
Mailing Address - Phone:440-892-2226
Mailing Address - Fax:440-892-2228
Practice Address - Street 1:30400 DETROIT RD
Practice Address - Street 2:SUITE 307
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1872
Practice Address - Country:US
Practice Address - Phone:440-892-2226
Practice Address - Fax:440-892-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty