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
Phone: (262) 249-5000
Fax: (262) 248-7107
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669788477 | NPPES |
| Wisconsin | Other | 56641-21 | WISCONSIN STATE LICENSE |
| Wisconsin | MEDICAID | 100023071 | WISCONSIN STATE LICENSE |
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