MEDICARE: ZENKER FAMILY CHIROPRACTIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7440	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	Z100577	OTHER	AZ	MEDICARE GROUP PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1699784041	OTHER	AZ	BCBSAZ

General Provider Information

NPI Number	:	1528254323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENKER FAMILY CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	20470 N LAKE PLEASANT RD
Second Line	:	SUITE 109
City	:	PEORIA
State	:	AZ
Zip	:	85382-9708
Country	:	US
Telephone Number	:	623-376-8225
Fax Number	:	623-376-8227

Provider Business Practice Location Address
First Line	:	20470 N LAKE PLEASANT RD
Second Line	:	SUITE 109
City	:	PEORIA
State	:	AZ
Zip	:	85382-9708
Country	:	US
Telephone Number	:	623-376-8225
Fax Number	:	623-376-8227

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. LIZABETH ARIX ZENKER
Credential	:	D.C.
Telephone Number	:	623-376-8225

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	09/14/2007

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Directions to “ZENKER FAMILY CHIROPRACTIC, LLC ” Practice Location

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