Ziegler, Jack Alan

Ziegler, Jack Alan is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 4A, Liverpool NY 13088. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ziegler, Jack Alan can be contacted via phone (315) 458-2211.

Contact Information

Primary practice address
5100 W Taft Rd Suite 4A Liverpool NY 13088
Phone: (315) 458-2211
Fax: (315) 452-9025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 169828 New York
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 169828 New York

Profile Details

NPI number 1811006695
LBN Legal business name Ziegler, Jack Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1811006695 NPPES
New York MEDICAID 01217707

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