Individual
DR. JACK ZELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1310 ALPINE AVE, BOULDER, CO 80304-3504
(303) 444-7524
(303) 444-2464
Mailing address
1310 ALPINE AVE, BOULDER, CO 80304-3504
(303) 444-7524
(303) 444-2464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1261
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COB4292
MEDICARE PTAN
CO
Enumeration date
10/26/2006
Last updated
03/01/2010
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