Provider Demographics
NPI:1982877486
Name:ZIMMERMAN CONSULTING INC
Entity type:Organization
Organization Name:ZIMMERMAN CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:262-632-1780
Mailing Address - Street 1:524 MAIN STREET
Mailing Address - Street 2:SUITE 302
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53403-1032
Mailing Address - Country:US
Mailing Address - Phone:262-632-1780
Mailing Address - Fax:262-632-0895
Practice Address - Street 1:524 MAIN STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-1032
Practice Address - Country:US
Practice Address - Phone:262-632-1780
Practice Address - Fax:262-632-0895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2636251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42243700Medicaid
WI42243721Medicaid