MICHAEL LAWRENCE ZASTROW D.C. NPI 1275586075

NPI Information

NPI: 1275586075
Provider Name: MICHAEL LAWRENCE ZASTROW, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2920 S WEBSTER AVE
SUITE B
GREEN BAY, WI
ZIP 54301
Phone: (920) 339-9774
Get Directions

Michael Lawrence Zastrow, D.C. is a chiropractor in Green Bay, WI with 43 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Michael Lawrence Zastrow, D.C. NPI is 1275586075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:1981

The provider's business location address is:

2920 S WEBSTER AVE
SUITE B
GREEN BAY, WI
ZIP 54301-594
Phone: (920) 339-9774
Fax: (920) 339-9764

The enumeration date for this NPI number is 5/19/2006 and was last updated on 12/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		1813-012	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38777600	MEDICAID	WISCONSIN
2	T63738	MEDICARE UPIN
3	38998500	OTHER	WISCONSIN	MEDICAID CLINIC NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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