Organization Name: | ZIPCLINIC, PCS |
NPI Number: | 1679944748 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOGAN MCCALL (MANAGER) |
Mailing Address: | 651 Us 31w Byp Bowling Green |
State: | KY US |
Postal Code: | 421014977 |
Phone Number: | 2704950440 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2015 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |