=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154290534
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GABRIEL TIMOTHY ZEIGLER DC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2025
-----------------------------------------------------
Last Update Date | 11/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 117 N SCOTT ST UNIT A
-----------------------------------------------------
City | SHERIDAN
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82801-3947
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 307-655-5808
-----------------------------------------------------
Fax | 307-655-5979
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 117 N SCOTT ST UNIT A
-----------------------------------------------------
City | SHERIDAN
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82801-3947
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 307-655-5808
-----------------------------------------------------
Fax | 307-655-5979
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 879
-----------------------------------------------------
License Number State | WY
-----------------------------------------------------