Individual
DR. JEFFRY SHANE ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
143 WESTMINSTER ST, PROVIDENCE, RI 02903-2020
(401) 521-1900
Mailing address
143 WESTMINSTER ST, PROVIDENCE, RI 02903-2020
(401) 521-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00643
RI
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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