Provider Demographics
NPI:1336318898
Name:ZLOTEA, EDMOND (DC)
Entity Type:Individual
Prefix:DR
First Name:EDMOND
Middle Name:
Last Name:ZLOTEA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1360
Mailing Address - Country:US
Mailing Address - Phone:334-699-3362
Mailing Address - Fax:888-413-5226
Practice Address - Street 1:1801 W MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-1360
Practice Address - Country:US
Practice Address - Phone:334-699-3362
Practice Address - Fax:888-413-5226
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1628111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor