Zimmerman, Peter Carl
Zimmerman, Peter Carl is an individual health care provider with primary practice located at 1449 E 17Th Street , Idaho Falls ID 83404-6236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Zimmerman, Peter Carl can be contacted via phone (208) 529-6600.Contact Information
Primary practice address
1449 E 17Th Street
Idaho Falls ID 83404-6236
Phone: (208) 529-6600
Fax: (208) 529-6603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M3855 | Idaho |
Profile Details
| NPI number | 1275685513 |
|---|---|
| LBN Legal business name | Zimmerman, Peter Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Nov 19th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275685513 | NPPES |
| Idaho | Other | 09761 | BLUE CROSS |
| Idaho | Other | 000010006162 | BLUE CROSS |
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