Gary A Zetterberg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10507570882A Issued in NH

Practice address

13 Ponemah Hill Rd
Amherst, NH 03031-2825

Phone

(603) 673-9191

Fax

(603) 673-6025

NPI assigned

May 2, 2007

Last updated

May 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1578785598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PONEMAH HILL RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312825",
            "telephone_number": "603-673-9191",
            "fax_number": "603-673-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PONEMAH HILL RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312825",
            "telephone_number": "603-673-9191",
            "fax_number": "603-673-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTERBERG",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "10507570882A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "0508466Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7032",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7457521",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana M. Williams, DPT
• Lauren M. Wood, MS, LCMHC
• Wright & Associates Family Healthcare, PLLC
• Wendy L Wright, ARNP
• Patricia Helen York, M.S. C.C.C.-SLP
• Patricia Sonya Zsofka, MSW LICSW

• Chiropractor in Amherst, NH
• Providers in Amherst, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.