Healthcare Provider Details

I. General information

NPI: 1972631737
Provider Name (Legal Business Name): SHARON LYNN ZAHUL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 N LAFAYETTE ST
SOUTH LYON MI
48178-4002
US

IV. Provider business mailing address

812 DREXEL ST
DEARBORN MI
48128-1607
US

V. Phone/Fax

Practice location:
  • Phone: 248-486-1411
  • Fax:
Mailing address:
  • Phone: 313-274-2904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number2301006932
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: