Provider Demographics
NPI:1528254323
Name:ZENKER FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:ZENKER FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LIZABETH
Authorized Official - Middle Name:ARIX
Authorized Official - Last Name:ZENKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-376-8225
Mailing Address - Street 1:20470 N LAKE PLEASANT RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-9708
Mailing Address - Country:US
Mailing Address - Phone:623-376-8225
Mailing Address - Fax:623-376-8227
Practice Address - Street 1:20470 N LAKE PLEASANT RD
Practice Address - Street 2:SUITE 109
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-9708
Practice Address - Country:US
Practice Address - Phone:623-376-8225
Practice Address - Fax:623-376-8227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7440111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1699784041OtherBCBSAZ
AZZ100577OtherMEDICARE GROUP PIN
AZZ100578Medicare PIN
AZ1699784041OtherBCBSAZ