Provider Demographics
NPI:1952300360
Name:ZEART, CAROL R (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:R
Last Name:ZEART
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-4206
Mailing Address - Country:US
Mailing Address - Phone:570-759-2248
Mailing Address - Fax:570-759-0820
Practice Address - Street 1:1715 W FRONT ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-4206
Practice Address - Country:US
Practice Address - Phone:570-759-2248
Practice Address - Fax:570-759-0820
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-002433 L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor