Zack, Paul Martin

Zack, Paul Martin is an individual health care provider with primary practice located at 2134 Hampton Pl , Okemos MI 48864-3691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Zack, Paul Martin can be contacted via phone (517) 347-3000.

Contact Information

Primary practice address
2134 Hampton Pl Okemos MI 48864-3691
Fax: (517) 347-8393
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 430146829 Michigan

Profile Details

NPI number 1982639704
LBN Legal business name Zack, Paul Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982639704 NPPES
Michigan MEDICAID 1982639704

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