Zimmer, Richard
Zimmer, Richard is an sole proprietor health care provider with primary practice located at 1049 4Th St Ste G , Santa Rosa CA 95404-4345. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zimmer, Richard can be contacted via phone (707) 771-9917.Contact Information
Primary practice address
1049 4Th St Ste G
Santa Rosa CA 95404-4345
Phone: (707) 771-9917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY14079 | California |
Profile Details
| NPI number | 1609825868 |
|---|---|
| LBN Legal business name | Zimmer, Richard |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Jun 30th, 2022 - 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 | 1609825868 | NPPES |
| California | MEDICAID | PSY140790 |
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