Provider Demographics
NPI:1316099328
Name:ZYMLER, DAVID PAUL (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:PAUL
Last Name:ZYMLER
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 1:10254 BRIGHTON CIRCLE
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087
Mailing Address - Country:US
Mailing Address - Phone:330-840-7650
Mailing Address - Fax:
Practice Address - Street 1:6929 W 130TH ST STE 403
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-7822
Practice Address - Country:US
Practice Address - Phone:440-885-0845
Practice Address - Fax:440-885-0944
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0484191Medicare ID - Type Unspecified
T47197Medicare UPIN