Provider Demographics
NPI:1124242417
Name:ZABINSKI, TERRY L (DC)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:L
Last Name:ZABINSKI
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 1:999 BERKSHIRE BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1258
Mailing Address - Country:US
Mailing Address - Phone:610-373-3265
Mailing Address - Fax:610-373-6166
Practice Address - Street 1:999 BERKSHIRE BLVD STE 260
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1258
Practice Address - Country:US
Practice Address - Phone:610-373-3265
Practice Address - Fax:610-373-6166
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-001934-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00136385OtherHIGHMARK BLUE SHIELD