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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912304361 | NPPES |
| Wisconsin | MEDICAID | 100041622 |
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