Provider Demographics
NPI:1184885493
Name:NORBERT C. ZIMMER P.C.
Entity type:Organization
Organization Name:NORBERT C. ZIMMER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-765-5622
Mailing Address - Street 1:447 S WATER ST
Mailing Address - Street 2:
Mailing Address - City:MARINE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48039-1695
Mailing Address - Country:US
Mailing Address - Phone:810-765-5622
Mailing Address - Fax:810-765-8374
Practice Address - Street 1:447 S WATER ST
Practice Address - Street 2:
Practice Address - City:MARINE CITY
Practice Address - State:MI
Practice Address - Zip Code:48039
Practice Address - Country:US
Practice Address - Phone:810-765-5622
Practice Address - Fax:810-765-8374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3212436Medicaid
MI0G41189OtherBCBS OF MICHIGAN
MI3212436Medicaid