Provider Demographics
NPI:1275299554
Name:ZINNI FAMILY PRACTICE LLC
Entity Type:Organization
Organization Name:ZINNI FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINNI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:330-533-3351
Mailing Address - Street 1:540 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1541
Mailing Address - Country:US
Mailing Address - Phone:330-533-3351
Mailing Address - Fax:
Practice Address - Street 1:540 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-1541
Practice Address - Country:US
Practice Address - Phone:330-533-3351
Practice Address - Fax:330-533-8966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty