Provider Demographics
NPI:1659070720
Name:MIN, ZIN JR
Entity Type:Individual
Prefix:
First Name:ZIN
Middle Name:
Last Name:MIN
Suffix:JR
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 1:2426 SHERWOOD VILLA
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2647
Mailing Address - Country:US
Mailing Address - Phone:614-736-5025
Mailing Address - Fax:
Practice Address - Street 1:2426 SHERWOOD VILLA
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2647
Practice Address - Country:US
Practice Address - Phone:614-736-5025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide