Provider Demographics
NPI:1649270752
Name:ZACHERL, TROY (DC)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:
Last Name:ZACHERL
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 1:4720 WATTSBURG ROAD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-2742
Mailing Address - Country:US
Mailing Address - Phone:814-825-1102
Mailing Address - Fax:814-825-3292
Practice Address - Street 1:4720 WATTSBURG RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-2742
Practice Address - Country:US
Practice Address - Phone:814-825-1102
Practice Address - Fax:814-825-3292
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007449-L111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3006761OtherAETNA HMO
PA3742327OtherCIGNA
PA0017512180003Medicaid
PA407664OtherHEALTHAMERICA
PA326476OtherUPMC
PA350283OtherHIGHMARK
PA7067415OtherAETNA
PA7067415OtherAETNA
PA326476OtherUPMC