Provider Demographics
NPI:1760615942
Name:CHUKHMAN, ZINOVY (DC)
Entity Type:Individual
Prefix:DR
First Name:ZINOVY
Middle Name:
Last Name:CHUKHMAN
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:PO BOX 832071
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-2071
Mailing Address - Country:US
Mailing Address - Phone:972-907-2800
Mailing Address - Fax:972-907-2800
Practice Address - Street 1:777 S CENTRAL EXPY
Practice Address - Street 2:SUITE 6-C
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7411
Practice Address - Country:US
Practice Address - Phone:972-907-2800
Practice Address - Fax:972-907-2800
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2010-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor