Zackery, John Wesley
Zackery, John Wesley is an sole proprietor health care provider with primary practice located at 700 1/2 E 3Rd Ave , Hutchinson KS 67501-2267. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Zackery, John Wesley can be contacted via phone (620) 474-2205.Contact Information
Primary practice address
700 1/2 E 3Rd Ave
Hutchinson KS 67501-2267
Phone: (620) 474-2205
Fax: (620) 664-5158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1144455619 |
|---|---|
| LBN Legal business name | Zackery, John Wesley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2009 |
| Last updated | May 27th, 2009 - about 17 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 | 1144455619 | NPPES |
| Kansas | MEDICAID | 251B000000X |
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