Provider Demographics
NPI:1427352103
Name:ABOUL-HOSN, ZEYAD DANNY (DC)
Entity type:Individual
Prefix:DR
First Name:ZEYAD
Middle Name:DANNY
Last Name:ABOUL-HOSN
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 1:3970 W 24TH ST
Mailing Address - Street 2:SUITE104
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-9255
Mailing Address - Country:US
Mailing Address - Phone:928-782-1818
Mailing Address - Fax:
Practice Address - Street 1:3970 W 24TH ST
Practice Address - Street 2:SUITE104
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-9255
Practice Address - Country:US
Practice Address - Phone:928-782-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28609111N00000X
AZ8168111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor