Healthcare Provider Details
I. General information
NPI: 1871288415
Provider Name (Legal Business Name): ZERO MC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2023
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4075 E MARKET ST STE 20
YORK PA
17402-5123
US
IV. Provider business mailing address
4075 E MARKET ST STE 20
YORK PA
17402-5123
US
V. Phone/Fax
- Phone: 717-244-8504
- Fax: 717-244-5401
- Phone: 717-244-8504
- Fax: 717-244-5401
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SCOTT
THOMAS
MASSEY
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 717-850-1122