Zwemer, Jack Everett

Zwemer, Jack Everett is an individual health care provider with primary practice located at 455 Saint Michaels Dr , Santa Fe NM 87505-7601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Zwemer, Jack Everett can be contacted via phone (505) 986-8620.

Contact Information

Primary practice address
455 Saint Michaels Dr Santa Fe NM 87505-7601
Phone: (505) 986-8620
Fax: (505) 820-2461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 84-293 New Mexico

Profile Details

NPI number 1609963230
LBN Legal business name Zwemer, Jack Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Dec 18th, 2007 - about 17 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 1609963230 NPPES
New Mexico MEDICAID 00035063
New Mexico Other 00NM003087

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