Provider Demographics
NPI:1568866747
Name:ZIGMUND, FRANK III
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:ZIGMUND
Suffix:III
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 1:2222 E 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1224
Mailing Address - Country:US
Mailing Address - Phone:303-629-5293
Mailing Address - Fax:303-534-2431
Practice Address - Street 1:2222 E 18TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1224
Practice Address - Country:US
Practice Address - Phone:303-629-5293
Practice Address - Fax:303-534-2431
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-16
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1204101YA0400X
CAA 2002302101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)