Provider Demographics
NPI:1295010940
Name:ZEMLA FAMILY CORPORATION
Entity Type:Organization
Organization Name:ZEMLA FAMILY CORPORATION
Other - Org Name:UNIQUE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEMLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-753-6256
Mailing Address - Street 1:9925 214TH AVE E
Mailing Address - Street 2:SUITE C
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-3910
Mailing Address - Country:US
Mailing Address - Phone:253-753-6256
Mailing Address - Fax:253-862-5553
Practice Address - Street 1:9925 214TH AVE E
Practice Address - Street 2:SUITE C
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-3910
Practice Address - Country:US
Practice Address - Phone:253-753-6256
Practice Address - Fax:253-862-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60187198305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization