Healthcare Provider Details

I. General information

NPI: 1679872816
Provider Name (Legal Business Name): ZACHARY M SINGSANK DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2011
Last Update Date: 06/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S 48TH ST STE 600
LINCOLN NE
68506
US

IV. Provider business mailing address

1600 S 48TH ST STE 600
LINCOLN NE
68506-1275
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-3333
  • Fax:
Mailing address:
  • Phone: 402-483-3333
  • Fax: 402-483-3297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number1833
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: