Healthcare Provider Details

I. General information

NPI: 1528063773
Provider Name (Legal Business Name): KAREN L. ZIGON MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 09/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S NAPPANEE ST
ELKHART IN
46514-2066
US

IV. Provider business mailing address

PO BOX 2968
ELKHART IN
46515-2968
US

V. Phone/Fax

Practice location:
  • Phone: 574-296-3291
  • Fax: 574-296-3383
Mailing address:
  • Phone: 574-296-3291
  • Fax: 574-296-3383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number23001868A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: