Vance, Zachary R

Vance, Zachary R is an individual health care provider with primary practice located at 57 Sutphin Lane , Scarbro WV 25917. 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. Vance, Zachary R can be contacted via phone (304) 469-3345.

Contact Information

Primary practice address
57 Sutphin Lane Scarbro WV 25917
Phone: (304) 469-3345
Fax: (304) 469-2981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01352 West Virginia

Profile Details

NPI number 1164670105
LBN Legal business name Vance, Zachary R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Nov 23rd, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164670105 NPPES
West Virginia MEDICAID 3810013543

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