Provider Demographics
NPI:1063697225
Name:MULLER, ZACHARY DAVID (DC)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:DAVID
Last Name:MULLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OSAGE
Mailing Address - State:IA
Mailing Address - Zip Code:50461-1012
Mailing Address - Country:US
Mailing Address - Phone:641-732-4665
Mailing Address - Fax:641-732-3770
Practice Address - Street 1:139 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OSAGE
Practice Address - State:IA
Practice Address - Zip Code:50461-1012
Practice Address - Country:US
Practice Address - Phone:641-732-4665
Practice Address - Fax:641-732-3770
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007046111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA71548OtherBLUE CROSS BLUE SHIELD
IA71548OtherBLUE CROSS BLUE SHIELD