Provider Demographics
NPI:1679578868
Name:ZAMBELLI, BRANDI LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:LYNN
Last Name:ZAMBELLI
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:PO BOX 7922
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16107-7922
Mailing Address - Country:US
Mailing Address - Phone:724-714-9304
Mailing Address - Fax:724-698-7275
Practice Address - Street 1:2001 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1928
Practice Address - Country:US
Practice Address - Phone:724-714-9304
Practice Address - Fax:724-698-7275
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002154A111N00000X
PADC-007951-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1679578868OtherNPI
IN7286651OtherAETNA
IN000000345514OtherBLUE CROSS AND BLUE SHIEL
IN2366547OtherCIGNA
IN200500010Medicaid
IN208600CMedicare PIN
PA1679578868OtherNPI
PAV01870Medicare UPIN
INP00187956Medicare ID - Type UnspecifiedRAILROAD MEDICARE