Zastrow Chiropractic Office, LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

1813-12 Issued in WI

Legal business name

ZASTROW CHIROPRACTIC OFFICE, LLC

Practice address

1624 E Mason St
Green Bay, WI 54302-2739

Phone

(920) 465-0400

Fax

(920) 465-1430

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lawrence Zastrow, D.C.

Title

Owner

Phone

(920) 465-0400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1457751778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022739",
            "telephone_number": "920-465-0400",
            "fax_number": "920-465-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022739",
            "telephone_number": "920-465-0400",
            "fax_number": "920-465-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZASTROW CHIROPRACTIC OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "ZASTROW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-465-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "1813-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38777600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fuad Emile Zankoul, MD
• Heather Ann Zapata, NP
• Ehssan Zare, DO
• Semyon Zarkhin, MD
• Nami P Zarvan, MD
• Michael Lawrence Zastrow, D.C.
• Christine M Zasuly, CRNA
• James M Zasuly, MD
• Jeanine Marie Zeamer, LAT,ATC
• Mya Zeeman

• Nutrition Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Nutrition Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.