Draelos, Zoe Diana
Draelos, Zoe Diana is an sole proprietor health care provider with primary practice located at 2444 N Main St , High Point NC 27262-7833. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Draelos, Zoe Diana can be contacted via phone (336) 841-2040.Contact Information
Primary practice address
2444 N Main St
High Point NC 27262-7833
Phone: (336) 841-2040
Fax: (336) 841-2044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 31273 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 31273 | North Carolina |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 31273 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 31273 | North Carolina |
Profile Details
| NPI number | 1518940170 |
|---|---|
| LBN Legal business name | Draelos, Zoe Diana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Jul 26th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518940170 | NPPES |
| North Carolina | Other | 1081X | BLUE CROSS AND BLUE SHIEL |
| North Carolina | MEDICAID | 8929147 | BLUE CROSS AND BLUE SHIEL |
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