Zimmermann, Kolleen L
Zimmermann, Kolleen L is an individual health care provider with primary practice located at 715 Superior Rd Ste 120 , Green Bay WI 54311-7595. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Zimmermann, Kolleen L can be contacted via phone (920) 406-9803.Contact Information
Primary practice address
715 Superior Rd Ste 120
Green Bay WI 54311-7595
Phone: (920) 406-9803
Fax: (920) 406-9934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 38042-020 | Wisconsin |
Profile Details
| NPI number | 1619981164 |
|---|---|
| LBN Legal business name | Zimmermann, Kolleen L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 17th, 2018 - about 7 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 | 1619981164 | NPPES |
| Wisconsin | Other | 070016223 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 32561400 | RAILROAD MEDICARE |
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