Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | L556210 | MI |
NPI | 1770954620 |
---|---|
Provider Name | Dr. Zachary Earl Simkins |
First Address | Ann Arbor, MI 48105-2427 |
Second Address | Ann Arbor, MI 48105-2427 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2015 |
Last Update Date | 16/10/2015 |