Healthcare Provider Details

I. General information

NPI: 1699789677
Provider Name (Legal Business Name): ZEI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17773 HIGHWAY 104
ROBERTSDALE AL
36567-3819
US

IV. Provider business mailing address

17773 HIGHWAY 104
ROBERTSDALE AL
36567-3819
US

V. Phone/Fax

Practice location:
  • Phone: 251-947-7930
  • Fax: 251-947-7931
Mailing address:
  • Phone: 251-947-7930
  • Fax: 251-947-7931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPTH2036
License Number StateAL

VIII. Authorized Official

Name: MR. RICHARD EDWARD ZITNIK JR.
Title or Position: PRESIDENT
Credential: MS, PT
Phone: 251-947-7930