Healthcare Provider Details

I. General information

NPI: 1396949350
Provider Name (Legal Business Name): ZANONI CHIROPRACTIC CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 07/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29050 HARPER AVE
SAINT CLAIR SHORES MI
48081-1200
US

IV. Provider business mailing address

22206 VISNAW ST
SAINT CLAIR SHORES MI
48081-1245
US

V. Phone/Fax

Practice location:
  • Phone: 586-774-0091
  • Fax:
Mailing address:
  • Phone: 586-206-1910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberJZ007810
License Number StateMI

VIII. Authorized Official

Name: DR. JOSEPH M ZANONI
Title or Position: PRESIDENT
Credential: DC
Phone: 586-774-0091