Zimmer, Zack
Zimmer, Zack is an sole proprietor health care provider with primary practice located at 1619 Lusitana St , Honolulu HI 96813-6621. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Zimmer, Zack can be contacted via phone (808) 295-7311.Contact Information
Primary practice address
1619 Lusitana St
Honolulu HI 96813-6621
Phone: (808) 295-7311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | DIO-397 | Hawaii |
Profile Details
| NPI number | 1043621519 |
|---|---|
| LBN Legal business name | Zimmer, Zack |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2014 |
| Last updated | May 18th, 2014 - about 10 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 | 1043621519 | NPPES |
| Hawaii | Other | W73879484-01 | STATE TAX ID |
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