ZIMMERMAN CHIROPRACTIC CLINIC PC NPI 1396053005

NPI Information

NPI: 1396053005
Provider Name: ZIMMERMAN CHIROPRACTIC CLINIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7 E MAIN ST
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-2165
Get Directions

ZIMMERMAN CHIROPRACTIC CLINIC PC is a chiropractor in Du Quoin, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ZIMMERMAN CHIROPRACTIC CLINIC PC NPI is 1396053005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7 E MAIN ST
DU QUOIN, IL
ZIP 62832-420
Phone: (618) 542-2165
Fax: (618) 542-9276

The provider's authorized official is Richard Wayne Zimmerman .
The authorized official title is Chiropractor/owner and has the following contact phone number (618) 542-2165.

The enumeration date for this NPI number is 9/15/2010 and was last updated on 9/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	038007421	MEDICAID	ILLINOIS
2	07308609	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
3	U51517	MEDICARE UPIN	ILLINOIS
4	353021	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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