Provider Demographics
NPI:1568456952
Name:ZALUSKI, JOHN CHARLES (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CHARLES
Last Name:ZALUSKI
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 1:3936 N DAVIS HWY STE B
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2746
Mailing Address - Country:US
Mailing Address - Phone:850-438-7518
Mailing Address - Fax:850-432-9685
Practice Address - Street 1:3936 N DAVIS HWY
Practice Address - Street 2:SUITE B
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2746
Practice Address - Country:US
Practice Address - Phone:850-438-7518
Practice Address - Fax:850-432-9685
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
4406687OtherAETNA
FL88463OtherBCBS OF FLORIDA
FL88463YMedicare ID - Type Unspecified
40528Medicare ID - Type UnspecifiedMEDICARE GROUP ID
FL88463OtherBCBS OF FLORIDA