Provider Demographics
NPI:1891951604
Name:ZAK CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ZAK CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:ZAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-525-9900
Mailing Address - Street 1:208 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2762
Mailing Address - Country:US
Mailing Address - Phone:816-525-9900
Mailing Address - Fax:816-525-9578
Practice Address - Street 1:208 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2762
Practice Address - Country:US
Practice Address - Phone:816-525-9900
Practice Address - Fax:816-525-9578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5364111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0000561Medicare UPIN