Provider Demographics
NPI:1790793354
Name:ZEH, TODD J (DC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:J
Last Name:ZEH
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 1:1505 US HIGHWAY 1 S
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-7036
Mailing Address - Country:US
Mailing Address - Phone:910-246-0606
Mailing Address - Fax:910-246-0607
Practice Address - Street 1:1505 US HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-7036
Practice Address - Country:US
Practice Address - Phone:910-246-0606
Practice Address - Fax:910-246-0607
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2570111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890834JMedicaid
NC890834JMedicaid