Provider Demographics
NPI:1477686541
Name:ZEILER CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ZEILER CHIROPRACTIC PC
Other - Org Name:DAKOTA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:ZEILER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-375-2225
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0246920OtherDR ZEILER BCBS
AZAZ0943650OtherDR LICHTMAN BCBS
AZ100608Medicare ID - Type UnspecifiedDR. LICHTMAN PROVIDER NUM
AZ100607Medicare ID - Type UnspecifiedMEDICARE GROUP
AZ100609Medicare ID - Type UnspecifiedDR ZEILER PROVIDER NUMBER