Healthcare Provider Details

I. General information

NPI: 1639385503
Provider Name (Legal Business Name): ANGELA CHRISTINE ZOLPER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 ASH ST
BARABOO WI
53913-2139
US

IV. Provider business mailing address

701 ASH ST
BARABOO WI
53913-2139
US

V. Phone/Fax

Practice location:
  • Phone: 608-355-7999
  • Fax: 608-355-7995
Mailing address:
  • Phone: 608-355-7999
  • Fax: 608-355-7995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3699012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: