Wilson, Zachary Paul
Wilson, Zachary Paul is an sole proprietor health care provider with primary practice located at 751 Progress Ave , Waterloo IA 50701-3108. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wilson, Zachary Paul can be contacted via phone (319) 232-5366.Contact Information
Primary practice address
751 Progress Ave
Waterloo IA 50701-3108
Phone: (319) 232-5366
Fax: (319) 232-5370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06838 | Iowa |
Profile Details
| NPI number | 1306896881 |
|---|---|
| LBN Legal business name | Wilson, Zachary Paul |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 24th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306896881 | NPPES |
| Iowa | MEDICAID | 0485664 | |
| Iowa | MEDICAID | 0485672 |
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