Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NS0005X | Chiropractic Sports Physician | 32019 | CA |
Y | 111NS0005X | Chiropractic Sports Physician | CH 60271312 | WA |
NPI | 1316215593 |
---|---|
Provider Name | Dr. Zachary Nolan Zugschwerdt |
First Address | Seattle, WA 98109-5316 |
Second Address | Seattle, WA 98109-4241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2011 |
Last Update Date | 10/11/2017 |