Healthcare Provider Details

I. General information

NPI: 1205836400
Provider Name (Legal Business Name): HOLLY COLE ZUSMER D. C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 ROSTRAVER RD STE 101
BELLE VERNON PA
15012-1967
US

IV. Provider business mailing address

638 ROSTRAVER RD STE 101
BELLE VERNON PA
15012-1967
US

V. Phone/Fax

Practice location:
  • Phone: 724-929-3886
  • Fax: 724-929-3974
Mailing address:
  • Phone: 724-929-3886
  • Fax: 724-929-3974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC007265L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: