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NPI Code Detail

MEDICARE: ZIMMERMAN CHIROPRACTIC PS

MEDICARE: ZIMMERMAN CHIROPRACTIC PS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2137WA

General Provider Information

NPI Number : 1962650911
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZIMMERMAN CHIROPRACTIC PS
Provider Business Mailing Address
First Line : 2625 MARTIN WAY E STE A
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-4900
Country : US
Telephone Number : 360-352-5145
Fax Number :
Provider Business Practice Location Address
First Line : 2625 MARTIN WAY E STE A
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-4900
Country : US
Telephone Number : 360-352-5145
Fax Number :
Authorized Official
Title or Position : PRESIDANT
Name : DR. JERALD G ZIMMERMAN
Credential : D.C.
Telephone Number : 360-352-5145
Provider Enumeration Date : 09/03/2008
Last Update Date : 09/03/2008

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Directions to “ZIMMERMAN CHIROPRACTIC PS ” Practice Location

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