Provider Demographics
NPI:1982057774
Name:ZIEGLER, NATHANIEL PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:PETER
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 1:8880 FITNESS LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-8231
Mailing Address - Country:US
Mailing Address - Phone:317-482-7780
Mailing Address - Fax:
Practice Address - Street 1:8880 FITNESS LN
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-8231
Practice Address - Country:US
Practice Address - Phone:317-482-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002907A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201385290Medicaid