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NPI Code Detail

MEDICARE: JOHN H ZIMMERMAN DC LLC

MEDICARE: JOHN H ZIMMERMAN DC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2258CO

General Provider Information

NPI Number : 1679619696
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN H ZIMMERMAN DC LLC
Provider Business Mailing Address
First Line : 1217 RIVERSIDE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3218
Country : US
Telephone Number : 970-482-7800
Fax Number : 970-482-7802
Provider Business Practice Location Address
First Line : 1217 RIVERSIDE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3218
Country : US
Telephone Number : 970-482-7800
Fax Number : 970-482-7802
Authorized Official
Title or Position : PROPRIETOR
Name : DR. JOHN H ZIMMERMAN
Credential : DC
Telephone Number : 970-224-5450
Provider Enumeration Date : 01/29/2007
Last Update Date : 04/22/2008

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