1275524126 NPI number — LORINDA D ZIGAN PA

Table of content: SUSANNE HAYS LMFT (NPI 1982092334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275524126 NPI number — LORINDA D ZIGAN PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZIGAN
Provider First Name:
LORINDA
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275524126
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 DEERWOOD AVE NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WADENA
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56482-1253
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
218-631-1360
Provider Business Mailing Address Fax Number:
218-631-7507

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 DEERWOOD AVE NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WADENA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56482-1253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-631-1360
Provider Business Practice Location Address Fax Number:
218-631-7507
Provider Enumeration Date:
10/31/2005

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: 363AM0700X , with the licence number:  9845 , 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)

  • Identifier: HP39403 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 171985 . This is a "U CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: COMP . This is a "FIRST HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1987630 . This is a "ARAZ GROUP AMERICAS PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: COMP . This is a "CHAMPUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: COMP . This is a "ONE HEALTH PLAN GREAT WES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0115017 . This is a "MEDICA HEALTH PLANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1034924 . This is a "PREFERRED ONE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 194L4Z1 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 285486400 . This is a "MEDICAL ASSISTANCE MA" identifier . This identifiers is of the category "OTHER".
  • Identifier: COMP . This is a "MMSI" identifier . This identifiers is of the category "OTHER".