Individual
SCOTT A ZOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 5TH AVE NW, LE MARS, IA 51031-3116
(712) 546-8151
(712) 546-7653
Mailing address
200 5TH AVE NW, LE MARS, IA 51031-3116
(712) 546-8151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05416
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159376
—
IA
01
—
07411
WELLMARK BCBS
IA
01
—
1437370350
NPI FOR CLINIC
IA
01
—
16D0929683
CLIA CERTIFICATE NUMBER
IA
Enumeration date
09/13/2005
Last updated
05/03/2012
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