Zimmerman, Mark

Zimmerman, Mark is an individual health care provider with primary practice located at 1200 Airport Heights Dr Suite 350, Anchorage AK 99508-2943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Zimmerman, Mark can be contacted via phone (907) 264-2345.

Contact Information

Primary practice address
1200 Airport Heights Dr Suite 350 Anchorage AK 99508-2943
Phone: (907) 264-2345
Fax: (907) 264-1939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2125 Alaska

Profile Details

NPI number 1164408035
LBN Legal business name Zimmerman, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 9th, 2007 - about 19 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 1164408035 NPPES
Alaska Other 0195814 WA DEPT L&I
Alaska MEDICAID MD2125 WA DEPT L&I

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