Zimmerman, Lance Y
Zimmerman, Lance Y is an sole proprietor health care provider with primary practice located at 4126 S Demaree St Visalia, Visalia CA 93277-9514. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zimmerman, Lance Y can be contacted via phone (559) 393-7465.Contact Information
Primary practice address
4126 S Demaree St Visalia
Visalia CA 93277-9514
Phone: (559) 393-7465
Fax: (559) 754-2107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY27555 | California |
Profile Details
| NPI number | 1104861152 |
|---|---|
| LBN Legal business name | Zimmerman, Lance Y |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | May 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104861152 | NPPES |
| Missouri | Other | 1255331005 | GROUP NPI |
| Missouri | MEDICAID | 495299919 | GROUP NPI |
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