1154455772 NPI number — MS. DENISE FAYE HAMERNIK ZINGER PT

Table of content: MS. DENISE FAYE HAMERNIK ZINGER PT (NPI 1154455772)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154455772 NPI number — MS. DENISE FAYE HAMERNIK ZINGER PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZINGER
Provider First Name:
DENISE
Provider Middle Name:
FAYE HAMERNIK
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAMERNIK
Provider Other First Name:
DENISE
Provider Other Middle Name:
FAYE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1154455772
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13454 GRANADA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APPLE VALLEY
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55124-7618
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-432-2046
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1284 CORPORATE CENTER DR
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
EAGAN
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55121-1253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-686-0098
Provider Business Practice Location Address Fax Number:
651-686-0499
Provider Enumeration Date:
03/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  2223 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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