Provider Demographics
NPI:1528083458
Name:ZEMBA, N BRETT (DC)
Entity type:Individual
Prefix:DR
First Name:N
Middle Name:BRETT
Last Name:ZEMBA
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 1:147 CHENOWETH LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-2652
Mailing Address - Country:US
Mailing Address - Phone:502-893-8887
Mailing Address - Fax:502-895-1916
Practice Address - Street 1:147 CHENOWETH LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-2652
Practice Address - Country:US
Practice Address - Phone:502-893-8887
Practice Address - Fax:502-895-1916
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50005853OtherPASSPORT
KY000000269576OtherBLUE CROSS BLUE SHIELD
KY850003325Medicaid
KY50005853OtherPASSPORT
KYU88319Medicare UPIN