Zoeller, David J.

Zoeller, David J. is an sole proprietor health care provider with primary practice located at 2413 Ring Rd Ste 110 , Elizabethtown KY 42701-5924. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Zoeller, David J. can be contacted via phone (270) 765-4535.

Contact Information

Primary practice address
2413 Ring Rd Ste 110 Elizabethtown KY 42701-5924
Fax: (270) 763-1901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26429 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 26429 Kentucky

Profile Details

NPI number 1194708776
LBN Legal business name Zoeller, David J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Dec 1st, 2023 - about 2 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 1194708776 NPPES
Tennessee MEDICAID 1510590
Tennessee MEDICAID 6426429400
Tennessee Other 000000050365
Tennessee MEDICAID 4047817

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