Provider Demographics
NPI:1457674780
Name:ALLISON ZAK, D.C., LLC
Entity Type:Organization
Organization Name:ALLISON ZAK, D.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:ZAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-493-7985
Mailing Address - Street 1:220 1ST ST SE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-3004
Mailing Address - Country:US
Mailing Address - Phone:320-631-0258
Mailing Address - Fax:320-631-0259
Practice Address - Street 1:220 1ST ST SE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3004
Practice Address - Country:US
Practice Address - Phone:320-631-0258
Practice Address - Fax:320-631-0259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty