Provider Demographics
NPI:1467575720
Name:ZAFIS, CYNTHIA M (DC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:ZAFIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 MENDOCINO AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-2221
Mailing Address - Country:US
Mailing Address - Phone:707-527-7710
Mailing Address - Fax:707-527-7710
Practice Address - Street 1:3450 MENDOCINO AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-2221
Practice Address - Country:US
Practice Address - Phone:707-527-7710
Practice Address - Fax:707-527-7710
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC21845OtherSTATE LICENSE NUMBER
CAU37009Medicare UPIN
CADC21845OtherSTATE LICENSE NUMBER