Provider Demographics
NPI:1790761096
Name:ZACHER, ALLAN NORMAN III (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:NORMAN
Last Name:ZACHER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FALCON CREST LN
Mailing Address - Street 2:HAYWOOD PROFESSIONAL PARK
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-6620
Mailing Address - Country:US
Mailing Address - Phone:828-627-9998
Mailing Address - Fax:828-627-9946
Practice Address - Street 1:24 FALCON CREST LN
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-6620
Practice Address - Country:US
Practice Address - Phone:828-627-9998
Practice Address - Fax:828-627-9946
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30531174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891349FMedicaid
NC2333751Medicare ID - Type Unspecified
NC891349FMedicaid