Zim, Shane A

Zim, Shane A is an individual health care provider with primary practice located at 217 W Cataldo Ave , Spokane WA 99201-2217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Zim, Shane A can be contacted via phone (509) 624-2326.

Contact Information

Primary practice address
217 W Cataldo Ave Spokane WA 99201-2217
Fax: (509) 252-2837
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X MD60489025 Washington
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD60489025 Washington

Profile Details

NPI number 1003928896
LBN Legal business name Zim, Shane A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 16th, 2021 - about 3 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 1003928896 NPPES
Washington MEDICAID 2047218

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