Provider Demographics
NPI:1942374996
Name:ZEILER, THOMAS W (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:W
Last Name:ZEILER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:WILLIAM
Other - Last Name:ZEILER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:665 NEW YORK RANCH RD SUITE 2
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642
Mailing Address - Country:US
Mailing Address - Phone:209-223-4442
Mailing Address - Fax:209-223-3851
Practice Address - Street 1:665 NEW YORK RANCH RD SUITE 2
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642
Practice Address - Country:US
Practice Address - Phone:209-223-4442
Practice Address - Fax:209-223-3851
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T05857Medicare UPIN
CADC0156320Medicare ID - Type Unspecified