Zimmermann, Patrick

Zimmermann, Patrick is an sole proprietor health care provider with primary practice located at 531 Vandalia St Suite 100, Collinsville IL 62234-4061. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Zimmermann, Patrick can be contacted via phone (618) 344-0090.

Contact Information

Primary practice address
531 Vandalia St Suite 100 Collinsville IL 62234-4061
Phone: (618) 344-0090
Fax: (618) 344-4371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 036059275 Illinois
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 036059275 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036059275 Illinois

Profile Details

NPI number 1194749218
LBN Legal business name Zimmermann, Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Nov 11th, 2021 - about 5 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 1194749218 NPPES
Illinois MEDICAID 036059275

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