Provider Demographics
NPI:1225068927
Name:MCCABE, ZACHARY D (DC)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:D
Last Name:MCCABE
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 1:131 CARMICHAEL RD
Mailing Address - Street 2:#202
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-8269
Mailing Address - Country:US
Mailing Address - Phone:715-386-7690
Mailing Address - Fax:
Practice Address - Street 1:131 CARMICHAEL RD
Practice Address - Street 2:#202
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-8269
Practice Address - Country:US
Practice Address - Phone:715-386-7690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3754 012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
900335028012OtherBCBS
WI900335028OtherTAX ID
WI38947800Medicaid
WI900335028OtherTAX ID
WI38947800Medicaid