Provider Demographics
NPI:1114959764
Name:ZWINGER, SUSAN REES (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:REES
Last Name:ZWINGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SUSAN
Other - Middle Name:REES
Other - Last Name:STEFFENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2056 TALBERT DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7728
Mailing Address - Country:US
Mailing Address - Phone:530-521-4690
Mailing Address - Fax:
Practice Address - Street 1:2056 TALBERT DR STE 100
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7728
Practice Address - Country:US
Practice Address - Phone:530-521-4690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 29208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC 0292080Medicare ID - Type Unspecified