Healthcare Provider Details

I. General information

NPI: 1093934879
Provider Name (Legal Business Name): JANE E ZIMMERMAN-RUFFIN RN RAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 S GEORGE ST
YORK PA
17403-3123
US

IV. Provider business mailing address

827 S GEORGE ST
YORK PA
17403-3123
US

V. Phone/Fax

Practice location:
  • Phone: 717-846-6608
  • Fax: 717-846-6609
Mailing address:
  • Phone: 717-846-6608
  • Fax: 717-846-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK0003230
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: