Provider Demographics
NPI:1720569866
Name:MADER, ZOANN ALEXIS (DC)
Entity Type:Individual
Prefix:DR
First Name:ZOANN
Middle Name:ALEXIS
Last Name:MADER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-2132
Mailing Address - Country:US
Mailing Address - Phone:785-324-1449
Mailing Address - Fax:
Practice Address - Street 1:7555 S 57TH ST STE 2
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6663
Practice Address - Country:US
Practice Address - Phone:402-420-5357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor