Provider Demographics
NPI:1730252958
Name:ZONES, MICHAEL J (CPO)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:ZONES
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2426
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25725
Mailing Address - Country:US
Mailing Address - Phone:304-529-2097
Mailing Address - Fax:304-529-2098
Practice Address - Street 1:821 6TH AVENUE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701
Practice Address - Country:US
Practice Address - Phone:304-529-2097
Practice Address - Fax:304-529-2098
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90269010Medicaid
OH0554074Medicaid
KY90269010Medicaid
WV0226840001Medicare NSC
OH0554074Medicaid