Healthcare Provider Details

I. General information

NPI: 1841243011
Provider Name (Legal Business Name): BYRON J ZINSELMEIR MA, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 J ST
EUREKA CA
95501-3052
US

IV. Provider business mailing address

1301 SILVERADO AVE
MCKINLEYVILLE CA
95519-9118
US

V. Phone/Fax

Practice location:
  • Phone: 707-476-1709
  • Fax:
Mailing address:
  • Phone: 707-839-9294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: