Zimmer, Paul Victor

Zimmer, Paul Victor is an individual health care provider with primary practice located at 1911 E Rezanof Dr , Kodiak AK 99615-6602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zimmer, Paul Victor can be contacted via phone (907) 481-5000.

Contact Information

Primary practice address
1911 E Rezanof Dr Kodiak AK 99615-6602
Fax: (907) 481-5030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3400 Alaska

Profile Details

NPI number 1265405906
LBN Legal business name Zimmer, Paul Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 25th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265405906 NPPES
Alaska MEDICAID MD1749
Alaska Other 920088665

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