Basic Information
Provider Information
NPI: 1063539708
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZIPORIN
FirstName: ARTHUR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 720 COOL SPRINGS BLVD
Address2: SUITE 300
City: FRANKLIN
State: TN
PostalCode: 370672626
CountryCode: US
TelephoneNumber: 6157784066
FaxNumber: 6157789114
Practice Location
Address1: 9724 LEGLER RD
Address2:  
City: LENEXA
State: KS
PostalCode: 662191282
CountryCode: US
TelephoneNumber: 6157784066
FaxNumber: 6157789114
Other Information
ProviderEnumerationDate: 03/26/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083X0100X04-29161KSY Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine

No ID Information.


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