Wajvoda, Zachary

Wajvoda, Zachary is an individual health care provider with primary practice located at 15301 Warren Shingle Rd , Beale Afb CA 95903-1905. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wajvoda, Zachary can be contacted via phone (219) 798-0474.

Contact Information

Primary practice address
15301 Warren Shingle Rd Beale Afb CA 95903-1905
Phone: (219) 798-0474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 54127 California

Profile Details

NPI number 1669897849
LBN Legal business name Wajvoda, Zachary
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2014
Last updated Jan 3rd, 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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