Healthcare Provider Details
I. General information
NPI: 1447982319
Provider Name (Legal Business Name): ZIMMER CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/28/2022
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7600 GEORGIA AVE NW STE 220
WASHINGTON DC
20012-1616
US
IV. Provider business mailing address
7600 GEORGIA AVE NW STE 220
WASHINGTON DC
20012-1616
US
V. Phone/Fax
- Phone: 202-640-2332
- Fax:
- Phone: 202-640-2332
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171W00000X |
| Taxonomy | Contractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENIFER
ZIMMER
Title or Position: CEO
Credential: PHD
Phone: 202-640-2332