Zastrow, Nicolas James
Zastrow, Nicolas James is an individual health care provider with primary practice located at 14520 W Granite Valley Dr Suite 210, Sun City West AZ 85375-5855. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Zastrow, Nicolas James can be contacted via phone (623) 537-5600.Contact Information
Primary practice address
14520 W Granite Valley Dr Suite 210
Sun City West AZ 85375-5855
Phone: (623) 537-5600
Fax: (866) 939-2673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3658 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3658 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3658 | Arizona |
Profile Details
| NPI number | 1972797173 |
|---|---|
| LBN Legal business name | Zastrow, Nicolas James |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Jan 20th, 2014 - about 12 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 | 1972797173 | NPPES |
| Arizona | Other | 5550830007 | MEDICARE NSC DV |
| Arizona | Other | 5550830003 | MEDICARE NSC DV |
| Arizona | Other | 5550830001 | MEDICARE NSC DV |
| Arizona | Other | 5550830009 | MEDICARE NSC DV |
| Arizona | Other | 5550830010 | MEDICARE NSC DV |
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