Provider Demographics
NPI:1528108388
Name:ZIEGLER, ERIC JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOHN
Last Name:ZIEGLER
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 1:3614 HIGHWAY 5
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2314
Mailing Address - Country:US
Mailing Address - Phone:770-489-9332
Mailing Address - Fax:770-489-0649
Practice Address - Street 1:3614 HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2314
Practice Address - Country:US
Practice Address - Phone:770-489-9332
Practice Address - Fax:770-489-0649
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCFSNMedicare ID - Type Unspecified
GAU65121Medicare UPIN