Healthcare Provider Details

I. General information

NPI: 1730252958
Provider Name (Legal Business Name): MICHAEL J ZONES CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 6TH AVENUE
HUNTINGTON WV
25701
US

IV. Provider business mailing address

PO BOX 2426
HUNTINGTON WV
25725
US

V. Phone/Fax

Practice location:
  • Phone: 304-529-2097
  • Fax: 304-529-2098
Mailing address:
  • Phone: 304-529-2097
  • Fax: 304-529-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: