=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770616682
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZYMLER CHIROPRACTIC OFFICE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2007
-----------------------------------------------------
Last Update Date | 08/05/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6406 STUMPH RD
-----------------------------------------------------
City | PARMA HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44130-2940
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-886-2222
-----------------------------------------------------
Fax | 440-886-1903
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6406 STUMPH RD
-----------------------------------------------------
City | PARMA HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44130-2940
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-886-2222
-----------------------------------------------------
Fax | 440-886-1903
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. DAVID PAUL ZYMLER
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 440-886-2222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 775
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------