Integrated Health Services of Door County Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4387012 Issued in WI

Legal business name

INTEGRATED HEALTH SERVICES OF DOOR COUNTY INC.

Practice address

6214 State Highway 42
Egg Harbor, WI 54209-9135

Phone

(920) 256-2865

NPI assigned

Sep 16, 2014

Last updated

Feb 5, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Zachary John Paul, D.C.NPI 1427228808

Title

President

Phone

(920) 366-9455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary J Paul, DC

  • Chiropractor
  • Egg Harbor, WI
  • NPI 1427228808
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1073915500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 STATE HIGHWAY 42",
            "city": "EGG HARBOR",
            "state": "WI",
            "postal_code": "542099135",
            "telephone_number": "920-256-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 STATE HIGHWAY 42",
            "city": "EGG HARBOR",
            "state": "WI",
            "postal_code": "542099135",
            "telephone_number": "920-256-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SERVICES OF DOOR COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-366-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "4387012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Leah Bosse, LPN
• Sandra Lynne Chlubna, OT
• Shannon M Fahey
• Anna Kate Giblin, PA
• Margaret Giblin
• Kari Lynn Mahlik, APNP
• Eileen O'Malley, LPN
• Zachary J Paul, DC
• Julia Spellman
• Steven J Stroman, MD

• Sports Physician Chiropractor in Egg Harbor, WI
• Providers in Egg Harbor, WI by specialty
• Sports Physician Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.