Provider Demographics
NPI:1114933462
Name:ZAMOR, CARL HARRY (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:HARRY
Last Name:ZAMOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 COLUMBIA AVE E STE F1
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3737
Mailing Address - Country:US
Mailing Address - Phone:269-934-9123
Mailing Address - Fax:269-934-9347
Practice Address - Street 1:115-B WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:BENTON HARBOR
Practice Address - State:MI
Practice Address - Zip Code:49022
Practice Address - Country:US
Practice Address - Phone:269-934-9123
Practice Address - Fax:269-934-9347
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00610142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry