Zachary Stoulil, D.C.
Individual provider Active NPI Chiropractor · Eldora, IA
NPI 1689064263 · NPPES record last updated Feb 3, 2015
Key facts
- NPI
- 1689064263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 076507 (IA)
- Practice address
- 1376 Washington St
Eldora, IA 50627-1631 - Phone
- (641) 939-3831
- NPI assigned
- Feb 3, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eldora Family Chiropractic and Wellness Center, P.C.
Practice addresses (Care Compare)
1376 Washington St
Eldora, IA 50627-1631
Phone (641) 939-3831
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150511001009 | IA | Practitioner - Chiropractic | 1052630225 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076507 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eldora Family Chiropractic & Wellness Center PC | Chiropractor | Current |
Accepting new patients |
| Ronald C Neuerburg DC | Chiropractor | Past |
Accepting new patients |
Locations
1376 Washington St
Eldora, IA 50627
Phone (641) 939-3831
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 076507 | IA | Yes |
Addresses
Primary practice location
1376 Washington St
Eldora, IA 50627-1631
Mailing address
1376 Washington St
Eldora, IA 50627-1631
Other providers in Eldora, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.