Provider Demographics
NPI:1821090671
Name:ZWERLING, JEFFREY S (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:S
Last Name:ZWERLING
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 1:612 FITZWATERTOWN RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1904
Mailing Address - Country:US
Mailing Address - Phone:215-830-6800
Mailing Address - Fax:215-830-9712
Practice Address - Street 1:612 FITZWATERTOWN RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1904
Practice Address - Country:US
Practice Address - Phone:215-830-6800
Practice Address - Fax:215-830-9712
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003516L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1527055OtherBC/BS ASSIGNMENT ACCT #
PA2216547000OtherKEYSTONE ASSIGNMENT ACCT