Abbott, Zachary

Abbott, Zachary is an sole proprietor health care provider with primary practice located at 421 E Morris Ave , Modesto CA 95354-0437. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Abbott, Zachary can be contacted via phone (209) 552-2807.

Contact Information

Primary practice address
421 E Morris Ave Modesto CA 95354-0437
Phone: (209) 552-2807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1376008649
LBN Legal business name Abbott, Zachary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2019
Last updated Nov 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376008649 NPPES
Oklahoma MEDICAID 9999999999

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