Provider Demographics
NPI:1659190569
Name:PROSSER, ZACHARY (NBC-HWC)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:PROSSER
Suffix:
Gender:M
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 DAN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3909
Mailing Address - Country:US
Mailing Address - Phone:330-813-9564
Mailing Address - Fax:
Practice Address - Street 1:688 DAN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3909
Practice Address - Country:US
Practice Address - Phone:330-813-9564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach