Provider Demographics
NPI:1396063376
Name:ALLISON, ZACHARY CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:CHRISTOPHER
Last Name:ALLISON
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 1:3643 SHAWNEE RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-1539
Mailing Address - Country:US
Mailing Address - Phone:419-991-0713
Mailing Address - Fax:419-991-6491
Practice Address - Street 1:3643 SHAWNEE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45806-1539
Practice Address - Country:US
Practice Address - Phone:419-991-0713
Practice Address - Fax:419-991-6491
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor