Healthcare Provider Details

I. General information

NPI: 1679578868
Provider Name (Legal Business Name): BRANDI LYNN ZAMBELLI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 06/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WILMINGTON RD
NEW CASTLE PA
16105-1928
US

IV. Provider business mailing address

PO BOX 7922
NEW CASTLE PA
16107-7922
US

V. Phone/Fax

Practice location:
  • Phone: 724-714-9304
  • Fax: 724-698-7275
Mailing address:
  • Phone: 724-714-9304
  • Fax: 724-698-7275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002154A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-007951-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: