Provider Demographics
NPI:1730345364
Name:PAPPAS, ZACHARY WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:WILLIAM
Last Name:PAPPAS
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 1:510 20TH ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25703-1511
Mailing Address - Country:US
Mailing Address - Phone:304-529-7772
Mailing Address - Fax:304-529-7795
Practice Address - Street 1:510 20TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25703-1511
Practice Address - Country:US
Practice Address - Phone:304-529-7772
Practice Address - Fax:304-529-7795
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY249497111N00000X
WV1092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100777190Medicaid