Zimmerman, Christian G

Zimmerman, Christian G is an individual health care provider with primary practice located at 6140 Curtisian Ave Suite 400, Boise ID 83704-8880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Zimmerman, Christian G can be contacted via phone (208) 367-3500.

Contact Information

Primary practice address
6140 Curtisian Ave Suite 400 Boise ID 83704-8880
Phone: (208) 367-3500
Fax: (208) 367-2968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X M6164 Idaho

Profile Details

NPI number 1407874068
LBN Legal business name Zimmerman, Christian G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 22nd, 2008 - about 17 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 1407874068 NPPES
Idaho MEDICAID 002733000
Idaho Other 8J711
Idaho Other 057633
Idaho Other 185367100
Idaho Other 58097
Idaho MEDICAID 807730000
Idaho Other 0182710
Idaho Other 72488
Idaho Other 000010004671

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