Zimmerman, Mark
Zimmerman, Mark is an sole proprietor health care provider with primary practice located at 5967 Sun Appello Ave , Las Vegas NV 89122-3447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Zimmerman, Mark can be contacted via phone (702) 489-5120.Contact Information
Primary practice address
5967 Sun Appello Ave
Las Vegas NV 89122-3447
Phone: (702) 489-5120
Fax: (702) 489-5120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 97-414 | New Mexico |
Profile Details
| NPI number | 1376514646 |
|---|---|
| LBN Legal business name | Zimmerman, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jun 23rd, 2010 - about 16 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 | 1376514646 | NPPES |
| Arizona | MEDICAID | 953944 |
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