Zimmerman, Richard Clark
Zimmerman, Richard Clark is an individual health care provider with primary practice located at 312 Main Street , Talent OR 97540. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Zimmerman, Richard Clark can be contacted via phone (541) 535-5082.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC00921 | Oregon |
Profile Details
| NPI number | 1336281310 |
|---|---|
| LBN Legal business name | Zimmerman, Richard Clark |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 9th, 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 | 1336281310 | NPPES |
| Oregon | MEDICAID | 213176 | |
| Oregon | MEDICAID | 213171 |
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