Zizus, Kaalyn Rose

Zizus, Kaalyn Rose is an individual health care provider with primary practice located at 46175 Westlake Drive, Suite 120 , Potomac Falls VA 20165-5873. 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. Zizus, Kaalyn Rose can be contacted via phone (703) 444-0100.

Contact Information

Primary practice address
46175 Westlake Drive, Suite 120 Potomac Falls VA 20165-5873
Phone: (703) 444-0100
Fax: (703) 444-7600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004109 Virginia

Profile Details

NPI number 1205174331
LBN Legal business name Zizus, Kaalyn Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Oct 31st, 2023 - about 3 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 1205174331 NPPES
Virginia MEDICAID 1205174331
Virginia MEDICAID 30015891910003

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