Provider Demographics
NPI:1235310277
Name:CZ CHIROPRACTIC ENTERPRISES, PC
Entity Type:Organization
Organization Name:CZ CHIROPRACTIC ENTERPRISES, PC
Other - Org Name:ZOELLNER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOELLNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-488-8600
Mailing Address - Street 1:4785 E 91ST ST STE B
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2839
Mailing Address - Country:US
Mailing Address - Phone:918-488-8600
Mailing Address - Fax:918-488-9604
Practice Address - Street 1:4785 E 91ST ST STE B
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2839
Practice Address - Country:US
Practice Address - Phone:918-488-8600
Practice Address - Fax:918-488-9604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty