Costanzo, Zachary Cade

Costanzo, Zachary Cade is an individual health care provider with primary practice located at 15 Fieldcrest Ave , Wheeling WV 26003-5645. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Costanzo, Zachary Cade can be contacted via phone (304) 633-1139.

Contact Information

Primary practice address
15 Fieldcrest Ave Wheeling WV 26003-5645
Phone: (304) 633-1139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1215681168
LBN Legal business name Costanzo, Zachary Cade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2022
Last updated Feb 9th, 2022 - 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 1215681168 NPPES
West Virginia MEDICAID 125553494
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 1821206228

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