Zamzow, Brian M

Zamzow, Brian M is an individual health care provider with primary practice located at N112W17975 Mequon Rd , Germantown WI 53022-2425. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Zamzow, Brian M can be contacted via phone (262) 532-7680.

Contact Information

Primary practice address
N112W17975 Mequon Rd Germantown WI 53022-2425
Phone: (262) 532-7680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5375 Wisconsin

Profile Details

NPI number 1912304361
LBN Legal business name Zamzow, Brian M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2014
Last updated Dec 18th, 2019 - about 5 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 1912304361 NPPES
Wisconsin MEDICAID 100041622

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