Provider Demographics
NPI:1629124508
Name:ZATKIN, ALLAN N (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:N
Last Name:ZATKIN
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 1:25882 ORCHARD LAKE RD
Mailing Address - Street 2:205
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1292
Mailing Address - Country:US
Mailing Address - Phone:248-426-0022
Mailing Address - Fax:248-426-0044
Practice Address - Street 1:25882 ORCHARD LAKE RD
Practice Address - Street 2:205
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1292
Practice Address - Country:US
Practice Address - Phone:248-426-0022
Practice Address - Fax:248-426-0044
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI004807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F35019Medicare ID - Type UnspecifiedMEDICARE NUMBER