Individual ProviderBrian T ZakStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address121 S Green Dr, Athens, OH 45701-3100(440) 305-1199PECOS EnrollmentBased on the most recent information from CMS, provider Brian T Zak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1316411887Provider TypeIndividualFull NameZak, Brian TGenderMaleSole ProprietorYesEnumeration Date1/17/2019Last Updated1/17/2019Contact InformationPractice LocationPractice Address121 S Green Dr, Athens, OH 45701-3100Phone(440) 305-1199FaxUnlisted FaxMailing LocationMailing Address3004 Century Ln, Avon, OH 44011-2185Phone(440) 305-1199FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer