Healthcare Provider Details

I. General information

NPI: 1386850345
Provider Name (Legal Business Name): ADJUST TO HEALTH CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 04/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 2ND ST S
BUFFALO MN
55313-1413
US

IV. Provider business mailing address

109 2ND ST S
BUFFALO MN
55313-1413
US

V. Phone/Fax

Practice location:
  • Phone: 763-684-4646
  • Fax: 763-684-1758
Mailing address:
  • Phone: 763-684-4646
  • Fax: 763-684-1758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC4133
License Number StateMN

VIII. Authorized Official

Name: DR. WARREN JOSEPH ZOOK
Title or Position: PRESIDENT
Credential: D.C.
Phone: 763-684-4646