Zimmer, Steven A

Zimmer, Steven A is an individual health care provider with primary practice located at 11725 Stinson Ave , Chisago City MN 55013-9542. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zimmer, Steven A can be contacted via phone (651) 257-8421.

Contact Information

Primary practice address
11725 Stinson Ave Chisago City MN 55013-9542
Fax: (651) 257-8464
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1672 Minnesota

Profile Details

NPI number 1366437758
LBN Legal business name Zimmer, Steven A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Nov 14th, 2013 - about 12 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 1366437758 NPPES
Minnesota MEDICAID 424323400

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