Provider Demographics
NPI:1881053460
Name:BROWN, ZACHARY (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:BROWN
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 27
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:OH
Mailing Address - Zip Code:45380-0027
Mailing Address - Country:US
Mailing Address - Phone:937-526-3737
Mailing Address - Fax:937-526-3737
Practice Address - Street 1:27 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:OH
Practice Address - Zip Code:45380-1517
Practice Address - Country:US
Practice Address - Phone:937-526-3737
Practice Address - Fax:937-526-3737
Is Sole Proprietor?:No
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor