Provider Demographics
NPI:1922409887
Name:HALCUMB, ZACHARIAH (DC)
Entity Type:Individual
Prefix:
First Name:ZACHARIAH
Middle Name:
Last Name:HALCUMB
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 1:910 NE MINNEHAHA ST STE 10
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8749
Mailing Address - Country:US
Mailing Address - Phone:360-836-8403
Mailing Address - Fax:360-836-8421
Practice Address - Street 1:910 NE MINNEHAHA ST STE 10
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8749
Practice Address - Country:US
Practice Address - Phone:360-836-8403
Practice Address - Fax:360-836-8403
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60475853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor