Provider Demographics
NPI:1578169603
Name:ZORNES, GARY
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:ZORNES
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:PO BOX 75
Mailing Address - Street 2:
Mailing Address - City:NORTH LEWISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43060-0075
Mailing Address - Country:US
Mailing Address - Phone:614-531-3118
Mailing Address - Fax:
Practice Address - Street 1:47 SOUTH SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:NORTH LEWISBURG
Practice Address - State:OH
Practice Address - Zip Code:43060
Practice Address - Country:US
Practice Address - Phone:614-531-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker