Provider Demographics
NPI:1801552278
Name:ZULEG, KARA
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:ZULEG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E MAIN STREET
Mailing Address - Street 2:UNIT C
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-1534
Mailing Address - Country:US
Mailing Address - Phone:201-962-6997
Mailing Address - Fax:
Practice Address - Street 1:106 EAST MAIN STREET
Practice Address - Street 2:UNIT C
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945
Practice Address - Country:US
Practice Address - Phone:201-962-6997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00774400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor