Provider Demographics
NPI:1396459046
Name:ZIEGLER, JOSEPH K (LAC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:K
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:JOEY
Other - Middle Name:K
Other - Last Name:ZIEGLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:1406 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4032
Mailing Address - Country:US
Mailing Address - Phone:206-466-2933
Mailing Address - Fax:425-548-1677
Practice Address - Street 1:1406 E PINE ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4032
Practice Address - Country:US
Practice Address - Phone:206-466-2933
Practice Address - Fax:425-548-1677
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC61552042171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAC61552042OtherLICENSE