MEDICARE: DR. ZACHARY J PAUL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4387-012	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427228808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY J PAUL DC

Provider Business Mailing Address
First Line	:	6214 STATE HIGHWAY 42
Second Line	:
City	:	EGG HARBOR
State	:	WI
Zip	:	54209-9135
Country	:	US
Telephone Number	:	920-256-2865
Fax Number	:	608-441-1981

Provider Business Practice Location Address
First Line	:	6214 STATE HIGHWAY 42
Second Line	:
City	:	EGG HARBOR
State	:	WI
Zip	:	54209-9135
Country	:	US
Telephone Number	:	920-256-2865
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	02/05/2015

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