Provider Demographics
NPI:1639385503
Name:ZOLPER, ANGELA CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:CHRISTINE
Last Name:ZOLPER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 ASH ST
Mailing Address - Street 2:
Mailing Address - City:BARABOO
Mailing Address - State:WI
Mailing Address - Zip Code:53913-2139
Mailing Address - Country:US
Mailing Address - Phone:608-355-7999
Mailing Address - Fax:608-355-7995
Practice Address - Street 1:701 ASH ST
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913-2139
Practice Address - Country:US
Practice Address - Phone:608-355-7999
Practice Address - Fax:608-355-7995
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3699012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIU84563Medicare UPIN