Provider Demographics
NPI:1558629071
Name:ZIGMOND PC
Entity Type:Organization
Organization Name:ZIGMOND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIGMOND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-968-5002
Mailing Address - Street 1:21700 GREENFIELD RD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2581
Mailing Address - Country:US
Mailing Address - Phone:248-968-5002
Mailing Address - Fax:248-968-5099
Practice Address - Street 1:21700 GREENFIELD RD
Practice Address - Street 2:SUITE 217
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2581
Practice Address - Country:US
Practice Address - Phone:248-968-5002
Practice Address - Fax:248-968-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty