Provider Demographics
NPI:1891953618
Name:ZURSCHMIT, NAKEMBA S
Entity Type:Individual
Prefix:
First Name:NAKEMBA
Middle Name:S
Last Name:ZURSCHMIT
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 1:1875 OAKES DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-4239
Mailing Address - Country:US
Mailing Address - Phone:330-634-4745
Mailing Address - Fax:330-244-8567
Practice Address - Street 1:1875 OAKES DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4239
Practice Address - Country:US
Practice Address - Phone:330-634-4745
Practice Address - Fax:330-244-8567
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2630620Medicaid