Provider Demographics
NPI:1700892627
Name:ZIEGLER, ROBERT C (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:C
Last Name:ZIEGLER
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:PO BOX 2222
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72402-2222
Mailing Address - Country:US
Mailing Address - Phone:870-935-7111
Mailing Address - Fax:870-935-7622
Practice Address - Street 1:2912 BROWNS LN
Practice Address - Street 2:SUITE A
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7237
Practice Address - Country:US
Practice Address - Phone:870-935-7111
Practice Address - Fax:870-935-7622
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1300111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR124476718Medicaid
AR59120OtherBCBS
AR11425718OtherCAQH
AR2170500OtherCIGNA
AR59120OtherBCBS
AR124476718Medicaid