Provider Demographics
NPI:1356517320
Name:ZEBRO, EDWARD J (DC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:ZEBRO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:180 POST RD E
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3414
Mailing Address - Country:US
Mailing Address - Phone:203-292-9353
Mailing Address - Fax:203-292-9352
Practice Address - Street 1:180 POST RD E
Practice Address - Street 2:SUITE 209
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3414
Practice Address - Country:US
Practice Address - Phone:203-292-9353
Practice Address - Fax:203-292-9352
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT001725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400348123Medicare PIN