Zimmermann, Rebecca L

Zimmermann, Rebecca L is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Zimmermann, Rebecca L can be contacted via phone (262) 249-5000.

Contact Information

Primary practice address
146 E Geneva Sq Lake Geneva WI 53147
Fax: (262) 248-7107
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 56641-21 Wisconsin

Profile Details

NPI number 1669788477
LBN Legal business name Zimmermann, Rebecca L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Nov 29th, 2021 - about 3 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 1669788477 NPPES
Wisconsin Other 56641-21 WISCONSIN STATE LICENSE
Wisconsin MEDICAID 100023071 WISCONSIN STATE LICENSE

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