Healthcare Provider Details
I. General information
NPI: 1407831050
Provider Name (Legal Business Name): DAVID C ZINK DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/07/2005
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11560 SPRINGFIELD PIKE
CINCINNATI OH
45246-3527
US
IV. Provider business mailing address
25 MERCHANT STREET SUITE 220
CINCINNATI OH
45246-3740
US
V. Phone/Fax
- Phone: 513-851-7700
- Fax: 513-851-1046
- Phone: 513-533-6507
- Fax: 513-645-9767
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 36002034 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: