Provider Demographics
NPI:1699784041
Name:ZENKER, LIZABETH ARIX (DC)
Entity type:Individual
Prefix:
First Name:LIZABETH
Middle Name:ARIX
Last Name:ZENKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:LIZABETH
Other - Middle Name:ARIX
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7440111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0943240OtherBCBSOF AZ.
AZZ100577Medicare ID - Type UnspecifiedGROUP #
AZZ100578Medicare ID - Type UnspecifiedINDIVIDUAL #
AZU98789Medicare UPIN