Healthcare Provider Details

I. General information

NPI: 1487254504
Provider Name (Legal Business Name): SAVANNAH LYNN ZINK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 12/22/2022
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2606 NATIONAL RD
WHEELING WV
26003-5370
US

IV. Provider business mailing address

2606 NATIONAL RD
WHEELING WV
26003-5370
US

V. Phone/Fax

Practice location:
  • Phone: 304-242-7060
  • Fax:
Mailing address:
  • Phone: 304-242-7060
  • Fax: 304-699-1283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberBP00945572
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCP00945572
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: