Provider Demographics
NPI:1366978587
Name:KLAUSING, ZACHARY A (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:A
Last Name:KLAUSING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 132
Mailing Address - Street 2:108 DR. THATYE DR
Mailing Address - City:GLANDORF
Mailing Address - State:OH
Mailing Address - Zip Code:45848
Mailing Address - Country:US
Mailing Address - Phone:419-538-7500
Mailing Address - Fax:419-538-7388
Practice Address - Street 1:108 DR. THATYE DR
Practice Address - Street 2:
Practice Address - City:GLANDORF
Practice Address - State:OH
Practice Address - Zip Code:45848
Practice Address - Country:US
Practice Address - Phone:419-538-7500
Practice Address - Fax:419-538-7388
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-08
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4715111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor