Provider Demographics
NPI:1710903265
Name:ZEMBA, DAVID A JR (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:ZEMBA
Suffix:JR
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 1:147 CHENOWETH LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-2652
Mailing Address - Country:US
Mailing Address - Phone:502-895-1915
Mailing Address - Fax:502-895-1916
Practice Address - Street 1:147 CHENOWETH LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-2652
Practice Address - Country:US
Practice Address - Phone:502-895-1915
Practice Address - Fax:502-895-1916
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY611326184OtherTAX ID#
KY000000050778OtherANTHEM
KY611326184OtherTAX ID#
KY6094101Medicare PIN