Zollinger, Charles Jeffrey

Zollinger, Charles Jeffrey is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Zollinger, Charles Jeffrey can be contacted via phone (208) 356-5401.

Contact Information

Primary practice address
393 E 2Nd N Rexburg ID 83440-1605
Fax: (208) 356-3111
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X M4211 Idaho

Profile Details

NPI number 1629182282
LBN Legal business name Zollinger, Charles Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Apr 14th, 2020 - about 5 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 1629182282 NPPES
Idaho MEDICAID 004021800

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