Provider Demographics
NPI:1972366888
Name:ZACHMAN, RICK L
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:L
Last Name:ZACHMAN
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 1:5196 LINDA DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-7813
Mailing Address - Country:US
Mailing Address - Phone:330-391-8128
Mailing Address - Fax:
Practice Address - Street 1:5196 LINDA DR APT A
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-7813
Practice Address - Country:US
Practice Address - Phone:330-591-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker