Zachary Fanaro, DC, L.AC
Individual provider Active NPI Chiropractor · Luray, VA
NPI 1396190872 · NPPES record last updated May 3, 2016
Key facts
- NPI
- 1396190872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104557315 (VA)
- Practice address
- 303 E Main St
Luray, VA 22835-2031 - Phone
- (540) 713-2322
- NPI assigned
- May 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557315 | VA | MD | Chiropractor |
| 0121000817 | VA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557315 | VA | Yes |
| Acupuncturist | 171100000X | 0121000817 | VA |
Addresses
Primary practice location
303 E Main St
Luray, VA 22835-2031
Mailing address
303 E Main St
Luray, VA 22835-2031
Phone (540) 713-2322
Other providers in Luray, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.