Jacobelli, Zachary
Jacobelli, Zachary is an individual health care provider with primary practice located at 929 Bowman Rd Ste 400 , Mt Pleasant SC 29464-3237. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Jacobelli, Zachary can be contacted via phone (843) 438-1317.Contact Information
Primary practice address
929 Bowman Rd Ste 400
Mt Pleasant SC 29464-3237
Phone: (843) 438-1317
Fax: (843) 806-4295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA063238 | Pennsylvania |
Profile Details
| NPI number | 1497411060 |
|---|---|
| LBN Legal business name | Jacobelli, Zachary |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2021 |
| Last updated | Oct 29th, 2025 - about last year |
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 | 1497411060 | NPPES |
| Other | 15511342 | CAQH |
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