MEDICARE: ANTHONY J ZVIRBLIS DC

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	08001668	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000241751	OTHER		ANTHEM BCBS PIN

General Provider Information

NPI Number	:	1982663175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY J ZVIRBLIS DC

Provider Business Mailing Address
First Line	:	2014 N WAYNE ST
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46703-9102
Country	:	US
Telephone Number	:	260-665-3106
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 N WAYNE ST
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46703-9102
Country	:	US
Telephone Number	:	260-665-3106
Fax Number	:

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/08/2007

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