Doctor Name: | MELISSA ZIPPRICH |
NPI Number: | 1457518847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 036069786 |
Business Practice Address: | 106 S Water Street Hardin, IL - 62047 |
Business Phone Number: | 6185769407 |
Business Fax Number: | 6185762260 |
Mailing Address: | 390 Maple Summit Rd, JERSEYVILLE |
State: | IL |
Postal Code: | 620522000 |
Phone Number: | 6184987518 |
Fax Number: | 6184983052 |
NPI Enumeration Date: | 05/22/2008 |
NPI Last Update Date: | 05/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 036069786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |