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:
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Health care specialties

SpecialtyCodeLicense #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 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275685513 NPPES
Idaho Other 09761 BLUE CROSS
Idaho Other 000010006162 BLUE CROSS

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