Zuckerman, Jack Matthew

Zuckerman, Jack Matthew is an individual health care provider with primary practice located at 1221 Sixth St Ste 100 , Traverse City MI 49684-2359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Zuckerman, Jack Matthew can be contacted via phone (231) 935-0322.

Contact Information

Primary practice address
1221 Sixth St Ste 100 Traverse City MI 49684-2359
Phone: (231) 935-0322
Fax: (231) 935-0334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 2016-02247 North Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 0101248101 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X 4301503904 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X 137309 California

Profile Details

NPI number 1508093428
LBN Legal business name Zuckerman, Jack Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Feb 5th, 2024 - about last year

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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