Provider Demographics
NPI:1295062842
Name:ZEINAL, EMILY JOAN (DC)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:JOAN
Last Name:ZEINAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 GRAVENSTEIN HWY S.
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472
Mailing Address - Country:US
Mailing Address - Phone:707-829-2911
Mailing Address - Fax:707-823-8362
Practice Address - Street 1:1540 GRAVENSTEIN HWY S.
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472
Practice Address - Country:US
Practice Address - Phone:707-829-2911
Practice Address - Fax:707-823-8362
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30186111NP0017X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor