Healthcare Provider Details

I. General information

NPI: 1144965088
Provider Name (Legal Business Name): HANNAH ZITLAW DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 05/04/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 SEVENTH STREET
WILLIAMS CA
95987
US

IV. Provider business mailing address

4588 COUNTY ROAD G
ORLAND CA
95963-8110
US

V. Phone/Fax

Practice location:
  • Phone: 530-433-9160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: