Provider Demographics
NPI:1376572677
Name:ZORN FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:ZORN FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZORN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-528-9654
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:SOUTH EGREMONT
Mailing Address - State:MA
Mailing Address - Zip Code:01258-0038
Mailing Address - Country:US
Mailing Address - Phone:413-528-9654
Mailing Address - Fax:413-528-9654
Practice Address - Street 1:44 MAIN STREET
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:SOUTH EGREMONT
Practice Address - State:MA
Practice Address - Zip Code:01258-9702
Practice Address - Country:US
Practice Address - Phone:413-528-9654
Practice Address - Fax:413-528-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty