Zimmerman, Mary Lou
Zimmerman, Mary Lou is an individual health care provider with primary practice located at 1660 Nave Rd Se , Massillon OH 44646-9604. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Zimmerman, Mary Lou can be contacted via phone (330) 837-9411.Contact Information
Primary practice address
1660 Nave Rd Se
Massillon OH 44646-9604
Phone: (330) 837-9411
Fax: (330) 837-4603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN082208 | Ohio |
Profile Details
| NPI number | 1588062681 |
|---|---|
| LBN Legal business name | Zimmerman, Mary Lou |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2014 |
| Last updated | Sep 14th, 2018 - about 6 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 | 1588062681 | NPPES |
| Ohio | MEDICAID | 0208934 |
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