Provider Demographics
NPI:1124874748
Name:ZOFFEL, NICHOLAS ALEXIS (PHD)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:ALEXIS
Last Name:ZOFFEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2426 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-3912
Mailing Address - Country:US
Mailing Address - Phone:408-835-6474
Mailing Address - Fax:
Practice Address - Street 1:1108 BISSELL AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-3135
Practice Address - Country:US
Practice Address - Phone:408-835-6474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study