Healthcare Provider Details

I. General information

NPI: 1649672155
Provider Name (Legal Business Name): NORA J ZOMA DC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 09/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35737 HARPER AVE SUITE ONE
CLINTON TOWNSHIP MI
48035-3281
US

IV. Provider business mailing address

35737 HARPER AVE SUITE ONE
CLINTON TOWNSHIP MI
48035-3281
US

V. Phone/Fax

Practice location:
  • Phone: 586-792-2300
  • Fax:
Mailing address:
  • Phone: 586-792-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number2301009969
License Number StateMI

VIII. Authorized Official

Name: NORA J ZOMA
Title or Position: SOLE MEMBER
Credential: D.C.
Phone: 586-792-2300