Provider Demographics
NPI:1194734681
Name:ZIMMERMANN, CHRISTOPHER JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:ZIMMERMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-2449
Mailing Address - Country:US
Mailing Address - Phone:520-822-6173
Mailing Address - Fax:520-747-5845
Practice Address - Street 1:5602 E 5TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2449
Practice Address - Country:US
Practice Address - Phone:520-822-6173
Practice Address - Fax:520-747-5845
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor