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
Phone: (509) 624-2326
Fax: (509) 252-2837
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003928896 | NPPES |
Washington | MEDICAID | 2047218 |
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