Healthcare Provider Details

I. General information

NPI: 1619570397
Provider Name (Legal Business Name): ZUKIE BUILDERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2020
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22545 HABER DR
FAIRVIEW PARK OH
44126-2925
US

IV. Provider business mailing address

22545 HABER DR
FAIRVIEW PARK OH
44126-2925
US

V. Phone/Fax

Practice location:
  • Phone: 216-316-4340
  • Fax:
Mailing address:
  • Phone: 216-316-4340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL EDWARD ZUKIE
Title or Position: PRESIDENT
Credential:
Phone: 216-316-4340