Provider Demographics
NPI:1750325825
Name:ZENTNER, ALEXI (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXI
Middle Name:
Last Name:ZENTNER
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 1:1476 HUNTINGDON RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2104
Mailing Address - Country:US
Mailing Address - Phone:610-853-2343
Mailing Address - Fax:610-853-2343
Practice Address - Street 1:700 E TOWNSHIP LINE RD
Practice Address - Street 2:STE 101
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5733
Practice Address - Country:US
Practice Address - Phone:610-853-2340
Practice Address - Fax:610-853-2343
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007388L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0125713000OtherINDEPENDENCE BC & BS
PA9546783OtherCIGNA HEALTHCARE
PA7899389OtherAETNA
PAD39329OtherAMERIHEALTH ADMINISTRATOR
PA055415Medicare ID - Type Unspecified