Zimm, Edward Matthew
Zimm, Edward Matthew is an sole proprietor health care provider with primary practice located at 300 State St Suite 200, Erie PA 16507-1427. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Zimm, Edward Matthew can be contacted via phone (814) 453-4575.Contact Information
Primary practice address
300 State St Suite 200
Erie PA 16507-1427
Phone: (814) 453-4575
Fax: (814) 459-3885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | OS014072 | Pennsylvania |
| Other Service Providers / Specialist | 174400000X | 5101015865 | Michigan |
Profile Details
| NPI number | 1609801604 |
|---|---|
| LBN Legal business name | Zimm, Edward Matthew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 29th, 2023 - about 2 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 | 1609801604 | NPPES |
| Michigan | MEDICAID | 4842782 | |
| Michigan | Other | 1852511335 |
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