Zimmerman, Raymond
Zimmerman, Raymond is an individual health care provider with primary practice located at 8777 Broadway Suite A, Merrillville IN 46410-6693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zimmerman, Raymond can be contacted via phone (219) 756-0960.Contact Information
Primary practice address
8777 Broadway Suite A
Merrillville IN 46410-6693
Phone: (219) 756-0960
Fax: (219) 756-0961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01035397A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-081831 | Illinois |
Profile Details
| NPI number | 1386602100 |
|---|---|
| LBN Legal business name | Zimmerman, Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jan 8th, 2013 - about 12 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 | 1386602100 | NPPES |
| Illinois | MEDICAID | 036081831 | |
| Illinois | MEDICAID | 200152060 | |
| Illinois | Other | 0222075 | |
| Illinois | Other | 3631498336019001 | |
| Illinois | Other | P00700171 | |
| Illinois | Other | 363149833 |
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