Provider Demographics
NPI:1528214236
Name:ZWEIACHER CHIROPRACTIC SERVICES
Entity Type:Organization
Organization Name:ZWEIACHER CHIROPRACTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ZWEIACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-653-1188
Mailing Address - Street 1:100 S MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1477
Mailing Address - Country:US
Mailing Address - Phone:302-653-1188
Mailing Address - Fax:302-653-1182
Practice Address - Street 1:100 S MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1477
Practice Address - Country:US
Practice Address - Phone:302-653-1188
Practice Address - Fax:302-653-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF10000349111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEU26703Medicare UPIN