Healthcare Provider Details

I. General information

NPI: 1891077202
Provider Name (Legal Business Name): TODD HOWARD ZUELZKE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2011
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WASHINGTON ST
NORTH EASTON MA
02356-1100
US

IV. Provider business mailing address

105 WASHINGTON ST
NORTH EASTON MA
02356-1100
US

V. Phone/Fax

Practice location:
  • Phone: 508-230-2323
  • Fax: 508-230-8223
Mailing address:
  • Phone: 508-230-2323
  • Fax: 508-230-8223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3353
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: