Provider Demographics
NPI:1407995079
Name:ZELINGER, STEPHEN HOWARD I (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:HOWARD
Last Name:ZELINGER
Suffix:I
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 1:235 N EASTON RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4717
Mailing Address - Country:US
Mailing Address - Phone:215-884-3988
Mailing Address - Fax:
Practice Address - Street 1:235 N EASTON RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4717
Practice Address - Country:US
Practice Address - Phone:215-884-3988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002869L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0048538000OtherIBC PERSONAL CHOICE
PA0048538000OtherIBC PERSONAL CHOICE