Healthcare Provider Details

I. General information

NPI: 1184359069
Provider Name (Legal Business Name): DAVID ALEXANDER ZINK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2022
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 S 70TH ST STE 200
LINCOLN NE
68510-0001
US

IV. Provider business mailing address

575 S 70TH ST STE 200
LINCOLN NE
68510
US

V. Phone/Fax

Practice location:
  • Phone: 402-436-2000
  • Fax:
Mailing address:
  • Phone: 402-436-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3099
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: