Zimmerman, Clinton Ballard
Zimmerman, Clinton Ballard is an individual health care provider with primary practice located at 579 Greenway Rd Suite 200, Boone NC 28607-4809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Zimmerman, Clinton Ballard can be contacted via phone (828) 262-0100.Contact Information
Primary practice address
579 Greenway Rd Suite 200
Boone NC 28607-4809
Phone: (828) 262-0100
Fax: (828) 264-7592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34214 | North Carolina |
Profile Details
| NPI number | 1861483539 |
|---|---|
| LBN Legal business name | Zimmerman, Clinton Ballard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Aug 22nd, 2011 - about 15 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 | 1861483539 | NPPES |
| North Carolina | Other | 62308-NOCD | CIGNA |
| North Carolina | Other | 8991E | CIGNA |
| North Carolina | Other | 8991E | CIGNA |
| North Carolina | Other | 12-71030 | CIGNA |
| North Carolina | Other | 72758 | CIGNA |
| North Carolina | MEDICAID | 898991E | CIGNA |
| North Carolina | Other | 8991E | CIGNA |
| North Carolina | Other | 8991E | CIGNA |
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