Zimmerman, Jason A
Zimmerman, Jason A is an sole proprietor health care provider with primary practice located at 4545 Bellaire Dr S Ste 4 , Fort Worth TX 76109-1811. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Zimmerman, Jason A can be contacted via phone (214) 533-8183.Contact Information
Primary practice address
4545 Bellaire Dr S Ste 4
Fort Worth TX 76109-1811
Phone: (214) 533-8183
Fax: (817) 796-2404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 20465 | Texas |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 20465 | Texas |
Profile Details
| NPI number | 1902874159 |
|---|---|
| LBN Legal business name | Zimmerman, Jason A |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2006 |
| Last updated | Oct 23rd, 2022 - 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 | 1902874159 | NPPES |
| Texas | MEDICAID | 151049709 |
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