Provider Demographics
NPI:1932735248
Name:CLIPPER, ZACHARY II
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:CLIPPER
Suffix:II
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 1:6934 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1766
Mailing Address - Country:US
Mailing Address - Phone:734-217-9176
Mailing Address - Fax:
Practice Address - Street 1:6934 POPLAR DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1766
Practice Address - Country:US
Practice Address - Phone:734-217-9176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide