Provider Demographics
NPI:1033880018
Name:ASMAN, ZACHARY QUINN
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:QUINN
Last Name:ASMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 COVE CIR W
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-8812
Mailing Address - Country:US
Mailing Address - Phone:513-545-5230
Mailing Address - Fax:
Practice Address - Street 1:1712 COVE CIR W
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-8812
Practice Address - Country:US
Practice Address - Phone:513-545-5230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0028508363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner