Provider Demographics
NPI:1285959262
Name:SPARER, ZACHARY ELIAS (ND)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:ELIAS
Last Name:SPARER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:DR
Other - First Name:ZACHARY
Other - Middle Name:ELIAS
Other - Last Name:SPARER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:714 HARVARD AVE E
Mailing Address - Street 2:#304
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4641
Mailing Address - Country:US
Mailing Address - Phone:425-223-2035
Mailing Address - Fax:
Practice Address - Street 1:2040 WESTLAKE AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2765
Practice Address - Country:US
Practice Address - Phone:425-223-2035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60068218175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath