Zimmerman, Kenneth E

Zimmerman, Kenneth E is an sole proprietor health care provider with primary practice located at 66 Club Rd Ste 360 , Eugene OR 97401-2463. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Zimmerman, Kenneth E can be contacted via phone (541) 912-1295.

Contact Information

Primary practice address
66 Club Rd Ste 360 Eugene OR 97401-2463
Phone: (541) 912-1295
Fax: (541) 972-8779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 08004600RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 008004600N6 Oregon

Profile Details

NPI number 1306998141
LBN Legal business name Zimmerman, Kenneth E
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jun 26th, 2024 - about 6 months 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 1306998141 NPPES
Oregon MEDICAID 500753024

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