Healthcare Provider Details

I. General information

NPI: 1801873385
Provider Name (Legal Business Name): GREG A ZWEIACHER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S MAIN ST SUITE 204
SMYRNA DE
19977-1477
US

IV. Provider business mailing address

100 S MAIN ST SUITE 204
SMYRNA DE
19977-1477
US

V. Phone/Fax

Practice location:
  • Phone: 302-653-1188
  • Fax: 302-653-1182
Mailing address:
  • Phone: 302-653-1188
  • Fax: 302-653-1182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF10000349
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: