Provider Demographics
NPI:1134127731
Name:ZSCHUNKE, BONNIE (DC)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:
Last Name:ZSCHUNKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 FEDERAL RD
Mailing Address - Street 2:UNIT #18
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2041
Mailing Address - Country:US
Mailing Address - Phone:203-775-7102
Mailing Address - Fax:203-775-6843
Practice Address - Street 1:499 FEDERAL RD
Practice Address - Street 2:UNIT #18
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2041
Practice Address - Country:US
Practice Address - Phone:203-775-7102
Practice Address - Fax:203-775-6843
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001363111N00000X
NYX009471-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT7417203OtherAETNA
CT050001363CT01OtherANTHEM BC/BS
CT71633OtherCONNECTICARE
CTP2521445OtherOXFORD
CT6811432002OtherCIGNA
CT050001363CT01OtherANTHEM BC/BS
CT7417203OtherAETNA