Provider Demographics
NPI:1740489913
Name:ZIMMERMAN CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ZIMMERMAN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-929-4200
Mailing Address - Street 1:605 NORTH MAIN STREET
Mailing Address - Street 2:P.O. BOX 42
Mailing Address - City:HIGHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53543
Mailing Address - Country:US
Mailing Address - Phone:608-929-4200
Mailing Address - Fax:608-929-4201
Practice Address - Street 1:605 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:WI
Practice Address - Zip Code:53543
Practice Address - Country:US
Practice Address - Phone:608-929-4200
Practice Address - Fax:608-929-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4278012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty