Provider Demographics
NPI:1952790271
Name:JEFFREY W. ZIEGLER, D.O., PROF. CORP.
Entity Type:Organization
Organization Name:JEFFREY W. ZIEGLER, D.O., PROF. CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-433-3355
Mailing Address - Street 1:62 N PECOS RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7335
Mailing Address - Country:US
Mailing Address - Phone:702-433-3355
Mailing Address - Fax:702-433-3392
Practice Address - Street 1:62 N PECOS RD
Practice Address - Street 2:SUITE C
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7335
Practice Address - Country:US
Practice Address - Phone:702-433-3355
Practice Address - Fax:702-433-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV677207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty