Provider Demographics
NPI:1003037151
Name:ZIMMERMANN CHIROPRACTIC AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:ZIMMERMANN CHIROPRACTIC AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ZIMMERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-668-7070
Mailing Address - Street 1:700 LAKE AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2734
Mailing Address - Country:US
Mailing Address - Phone:603-668-7070
Mailing Address - Fax:603-668-5755
Practice Address - Street 1:700 LAKE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2734
Practice Address - Country:US
Practice Address - Phone:603-668-7070
Practice Address - Fax:603-668-5755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1000492111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE2536Medicare ID - Type Unspecified
NHT93460Medicare UPIN