MEDICARE: JEFFREY S. ZWERLING D.C.

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	DC003516L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1527055	OTHER	PA	BC/BS ASSIGNMENT ACCT #
2	2216547000	OTHER	PA	KEYSTONE ASSIGNMENT ACCT

General Provider Information

NPI Number	:	1821090671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY S. ZWERLING D.C.

Provider Business Mailing Address
First Line	:	612 FITZWATERTOWN RD
Second Line	:	1ST FLOOR
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1904
Country	:	US
Telephone Number	:	215-830-6800
Fax Number	:	215-830-9712

Provider Business Practice Location Address
First Line	:	612 FITZWATERTOWN RD
Second Line	:	1ST FLOOR
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1904
Country	:	US
Telephone Number	:	215-830-6800
Fax Number	:	215-830-9712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/08/2007

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