Provider Demographics
NPI:1548399926
Name:ZIRBEL, LESTER A (DC)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:A
Last Name:ZIRBEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11725 N 19TH AVE STE 12
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-3500
Mailing Address - Country:US
Mailing Address - Phone:602-371-1268
Mailing Address - Fax:
Practice Address - Street 1:11725 N 19TH AVE STE 12
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-3500
Practice Address - Country:US
Practice Address - Phone:602-371-1268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZDC5521Medicare ID - Type Unspecified