Tacktill, Jordan Zane

Tacktill, Jordan Zane is an individual health care provider with primary practice located at 222 Walnut Ave Sw , Roanoke VA 24016-4723. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Tacktill, Jordan Zane can be contacted via phone (540) 344-3668.

Contact Information

Primary practice address
222 Walnut Ave Sw Roanoke VA 24016-4723
Phone: (540) 344-3668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3534 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301083 Virginia

Profile Details

NPI number 1942560727
LBN Legal business name Tacktill, Jordan Zane
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated Jan 10th, 2022 - about 4 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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