Tiffany Ann Zimmerman, DC | |
1715 5th Ave, Moline, IL 61265-7911 | |
(309) 762-1050 | |
(309) 762-1064 |
Full Name | Tiffany Ann Zimmerman |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1715 5th Ave, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861522195 | NPI | - | NPPES |
K39525 | Other | IL | MEDICARE # |
4532305 | Other | IL | BLUE CROSS ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038-010770 (Illinois) | Primary |
Provider Name | Tiffany Zimmerman Dc Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306085428 PECOS PAC ID: 2163588401 Enrollment ID: O20090311000471 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Ann Zimmerman, DC 1715 5th Ave, Moline, IL 61265-7911 Ph: (309) 762-1050 | Tiffany Ann Zimmerman, DC 1715 5th Ave, Moline, IL 61265-7911 Ph: (309) 762-1050 |
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