Provider Demographics
NPI:1154458214
Name:ZOLEZZI, THOMAS C (DC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:C
Last Name:ZOLEZZI
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 1:920 N ARGONNE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2722
Mailing Address - Country:US
Mailing Address - Phone:509-893-2277
Mailing Address - Fax:509-893-2811
Practice Address - Street 1:920 N ARGONNE RD STE 100
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2722
Practice Address - Country:US
Practice Address - Phone:509-893-2277
Practice Address - Fax:509-893-2811
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8801436Medicare ID - Type Unspecified