O'Neal, Zachary Scott
O'Neal, Zachary Scott is an individual health care provider with primary practice located at 3502 Knickerbocker Rd , San Angelo TX 76904-7671. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. O'Neal, Zachary Scott can be contacted via phone (325) 481-2222.Contact Information
Primary practice address
3502 Knickerbocker Rd
San Angelo TX 76904-7671
Phone: (325) 481-2222
Fax: (325) 481-2232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05840 | Texas |
Profile Details
| NPI number | 1801052949 |
|---|---|
| LBN Legal business name | O'Neal, Zachary Scott |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Oct 12th, 2017 - about 9 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 | 1801052949 | NPPES |
| Texas | Other | 839N46 | BCBS |
| Texas | Other | TXB121160 | BCBS |
| Texas | MEDICAID | 219968901 | BCBS |
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