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
Phone: (270) 765-4535
Fax: (270) 763-1901
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194708776 | NPPES |
Tennessee | MEDICAID | 1510590 | |
Tennessee | MEDICAID | 6426429400 | |
Tennessee | Other | 000000050365 | |
Tennessee | MEDICAID | 4047817 |
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