Provider Demographics
NPI:1720205974
Name:ZADOK CORPORATION
Entity Type:Organization
Organization Name:ZADOK CORPORATION
Other - Org Name:STEUBENVILLE CHIROPRACTIC FAMILY WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-266-6622
Mailing Address - Street 1:2199 SUNSET BLVD
Mailing Address - Street 2:SUITE C & D
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1298
Mailing Address - Country:US
Mailing Address - Phone:740-266-6622
Mailing Address - Fax:740-266-6453
Practice Address - Street 1:2199 SUNSET BLVD
Practice Address - Street 2:SUITE C & D
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1298
Practice Address - Country:US
Practice Address - Phone:740-266-6622
Practice Address - Fax:740-266-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC.3450111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6644280001OtherMEDICARE PTAN
OH2530041Medicaid
OHU98136Medicare UPIN
OH6644280001OtherMEDICARE PTAN