Provider Demographics
NPI:1255486643
Name:ZEILER, WILLIAM D (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:ZEILER
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 1:18275 N 59TH AVE
Mailing Address - Street 2:BLDG A STE. 106
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1260
Mailing Address - Country:US
Mailing Address - Phone:602-375-2225
Mailing Address - Fax:602-942-5662
Practice Address - Street 1:18275 N 59TH AVE
Practice Address - Street 2:BLDG A STE. 106
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1260
Practice Address - Country:US
Practice Address - Phone:602-375-2225
Practice Address - Fax:602-942-5662
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0246920OtherBCBS
AZAZ0246920OtherBCBS