Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NP0017X | Pediatric Chiropractor | DC30186 | CA |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC30186 | CA |
NPI | 1295062842 |
---|---|
Provider Name | Dr. Emily Joan Zeinal |
First Address | Sebastopol, CA 95472 |
Second Address | Sebastopol, CA 95472 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2009 |
Last Update Date | 07/01/2013 |