Provider Demographics
NPI:1952334302
Name:ZUERCHER, EARL DAVID (D C)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:DAVID
Last Name:ZUERCHER
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5530
Mailing Address - Country:US
Mailing Address - Phone:817-599-5512
Mailing Address - Fax:817-596-4041
Practice Address - Street 1:1419 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5530
Practice Address - Country:US
Practice Address - Phone:817-599-5512
Practice Address - Fax:817-596-4041
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T16808Medicare UPIN
601088Medicare ID - Type Unspecified