MEDICARE: DR. SHARON LYNN ZAHUL D.C.

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	111NR0400X	Rehabilitation Chiropractor	2301006932	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0F35200	OTHER	MI	BLUE CROSS - BLUE SHIELD

General Provider Information

NPI Number	:	1972631737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON LYNN ZAHUL D.C.

Provider Business Mailing Address
First Line	:	812 DREXEL ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48128-1607
Country	:	US
Telephone Number	:	313-274-2904
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 N LAFAYETTE ST
Second Line	:
City	:	SOUTH LYON
State	:	MI
Zip	:	48178-4002
Country	:	US
Telephone Number	:	248-486-1411
Fax Number	:

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/08/2007

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