Healthcare Provider Details

I. General information

NPI: 1285640946
Provider Name (Legal Business Name): ZIPP MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 N SHADELAND AVE
INDIANAPOLIS IN
46226-5783
US

IV. Provider business mailing address

3707 N SHADELAND AVE
INDIANAPOLIS IN
46226-5783
US

V. Phone/Fax

Practice location:
  • Phone: 317-545-9555
  • Fax: 317-545-4537
Mailing address:
  • Phone: 317-545-9555
  • Fax: 317-545-4537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROSCOE JONES
Title or Position: OWNER
Credential:
Phone: 317-545-9555