Provider Demographics
NPI:1477746774
Name:ZEISCHEGG CHIROPRACTIC KARE
Entity Type:Organization
Organization Name:ZEISCHEGG CHIROPRACTIC KARE
Other - Org Name:CHIROPRACTIC KARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ZEISCHEGG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-274-0868
Mailing Address - Street 1:3347 CORINTHIAN LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-9066
Mailing Address - Country:US
Mailing Address - Phone:530-575-1956
Mailing Address - Fax:530-889-8864
Practice Address - Street 1:605 S AUBURN ST
Practice Address - Street 2:STE. E
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-7550
Practice Address - Country:US
Practice Address - Phone:530-274-0868
Practice Address - Fax:530-274-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 18703302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1841321999OtherNPI TYPE 1
CADC0187030Medicare PIN
CA1841321999OtherNPI TYPE 1