Healthcare Provider Details

I. General information

NPI: 1376147140
Provider Name (Legal Business Name): PAIGE M ZINT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS IN
46256-3307
US

IV. Provider business mailing address

1101 E 17TH ST UNIT 425
INDIANAPOLIS IN
46202-1840
US

V. Phone/Fax

Practice location:
  • Phone: 317-579-2150
  • Fax: 317-579-2130
Mailing address:
  • Phone: 812-431-4292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10003137A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: