Provider Demographics
NPI:1750513115
Name:ZISKA, MARCELLA L (DC)
Entity type:Individual
Prefix:DR
First Name:MARCELLA
Middle Name:L
Last Name:ZISKA
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 1:11850 NICHOLAS ST STE 220
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4476
Mailing Address - Country:US
Mailing Address - Phone:402-614-4201
Mailing Address - Fax:402-614-4520
Practice Address - Street 1:11850 NICHOLAS ST STE 220
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4476
Practice Address - Country:US
Practice Address - Phone:402-614-4201
Practice Address - Fax:402-614-4520
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor