Provider Demographics
NPI:1467588459
Name:DR. GERALD W. ZURINSKY JR. DC PC
Entity Type:Organization
Organization Name:DR. GERALD W. ZURINSKY JR. DC PC
Other - Org Name:CHIROPRACTIC CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:ZURINSKY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:586-777-9272
Mailing Address - Street 1:18940 E 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2031
Mailing Address - Country:US
Mailing Address - Phone:586-777-9272
Mailing Address - Fax:586-777-9672
Practice Address - Street 1:18940 E 9 MILE RD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2031
Practice Address - Country:US
Practice Address - Phone:586-777-9272
Practice Address - Fax:586-777-9672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4839867Medicaid
MIOEO1601OtherBLUE CROSS BLUE SHIELD
MIOEO1601OtherBLUE CROSS BLUE SHIELD