Provider Demographics
NPI:1780923268
Name:ZOERNER, STEPHEN HERBERT (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:HERBERT
Last Name:ZOERNER
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 1:2116 VIA AGUILA
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-5654
Mailing Address - Country:US
Mailing Address - Phone:949-492-2116
Mailing Address - Fax:
Practice Address - Street 1:2116 VIA AGUILA
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-5654
Practice Address - Country:US
Practice Address - Phone:949-492-2116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 22904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor