Provider Demographics
NPI:1770632986
Name:ZAK, THOMAS F (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:ZAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:30400 DETROIT RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1872
Mailing Address - Country:US
Mailing Address - Phone:440-892-2226
Mailing Address - Fax:440-892-2228
Practice Address - Street 1:30400 DETROIT RD
Practice Address - Street 2:SUITE 307
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1872
Practice Address - Country:US
Practice Address - Phone:440-892-2226
Practice Address - Fax:440-892-2228
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH3289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU90341Medicare UPIN
OHZA4083052Medicare ID - Type Unspecified