Mariano, M. Jerry Zapanta
Mariano, M. Jerry Zapanta is an individual health care provider with primary practice located at 1542 Golf Course Rd Suite 201, Grand Rapids MN 55744-9603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mariano, M. Jerry Zapanta can be contacted via phone (218) 326-3433.Contact Information
Primary practice address
1542 Golf Course Rd Suite 201
Grand Rapids MN 55744-9603
Phone: (218) 326-3433
Fax: (218) 326-3435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 43720 | Minnesota |
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 43720 | Minnesota |
Profile Details
| NPI number | 1376582908 |
|---|---|
| LBN Legal business name | Mariano, M. Jerry Zapanta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376582908 | NPPES |
| Minnesota | MEDICAID | 184514400 | |
| Minnesota | Other | 43720 |
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