Zelaya, Juan Carlos

Zelaya, Juan Carlos is an individual health care provider with primary practice located at 305 10Th St Ste 104 , Pocomoke City MD 21851-1607. 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. Zelaya, Juan Carlos can be contacted via phone (410) 957-0273.

Contact Information

Primary practice address
305 10Th St Ste 104 Pocomoke City MD 21851-1607
Phone: (410) 957-0273
Fax: (410) 957-0152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0001571 Maryland

Profile Details

NPI number 1578566790
LBN Legal business name Zelaya, Juan Carlos
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 5th, 2024 - about 2 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 1578566790 NPPES
Maryland MEDICAID 119591300

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