Provider Demographics
NPI:1932285558
Name:ZWICKEL, JOSPEH EDWARD (DC)
Entity Type:Individual
Prefix:MR
First Name:JOSPEH
Middle Name:EDWARD
Last Name:ZWICKEL
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 1:2326 REDONDO BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1528
Mailing Address - Country:US
Mailing Address - Phone:310-523-4494
Mailing Address - Fax:310-523-4576
Practice Address - Street 1:2326 REDONDO BEACH BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-1528
Practice Address - Country:US
Practice Address - Phone:310-523-4494
Practice Address - Fax:310-523-4576
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22907111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC22907OtherLICENSE NO