Provider Demographics
NPI:1588765663
Name:ZITEL, JEFF L (DC)
Entity type:Individual
Prefix:DR
First Name:JEFF
Middle Name:L
Last Name:ZITEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 TORINGDON WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2498
Mailing Address - Country:US
Mailing Address - Phone:704-544-8881
Mailing Address - Fax:704-544-2882
Practice Address - Street 1:3419 TORINGDON WAY STE 104
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2498
Practice Address - Country:US
Practice Address - Phone:704-544-8881
Practice Address - Fax:704-544-2882
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU88511Medicare UPIN
NC2339379Medicare ID - Type Unspecified