Zack, Perry Earl

Zack, Perry Earl is an individual health care provider with primary practice located at 751 E 81St Ave , Merrillville IN 46410-5538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zack, Perry Earl can be contacted via phone (219) 791-9476.

Contact Information

Primary practice address
751 E 81St Ave Merrillville IN 46410-5538
Phone: (219) 791-9476
Fax: (219) 791-9542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001537 Indiana

Profile Details

NPI number 1568431559
LBN Legal business name Zack, Perry Earl
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 24th, 2017 - about 7 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 1568431559 NPPES
Indiana MEDICAID 200079230B
Indiana Other 00000093814

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