Tankersley, Zach J

Tankersley, Zach J is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite G500, Huntington WV 25701-3656. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Tankersley, Zach J can be contacted via phone (304) 691-1262.

Contact Information

Primary practice address
1600 Medical Center Dr Suite G500 Huntington WV 25701-3656
Phone: (304) 691-1262
Fax: (304) 691-1254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 10393 West Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00445 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00445 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 10393 West Virginia

Profile Details

NPI number 1528162161
LBN Legal business name Tankersley, Zach J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Nov 17th, 2021 - about 5 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 1528162161 NPPES
West Virginia MEDICAID 3810006660

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