Zeltvay, Jackie R

Zeltvay, Jackie R is an individual health care provider with primary practice located at 4045 Postal Dr , Roanoke VA 24018-6439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Zeltvay, Jackie R can be contacted via phone (540) 776-0175.

Contact Information

Primary practice address
4045 Postal Dr Roanoke VA 24018-6439
Fax: (540) 776-0488
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002890 Virginia

Profile Details

NPI number 1750530838
LBN Legal business name Zeltvay, Jackie R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2008
Last updated Sep 15th, 2008 - about 18 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 1750530838 NPPES
Virginia Other 0110002890 VA LICENSE

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