Abbott, Zachary Ian
Abbott, Zachary Ian is an individual health care provider with primary practice located at 3901 Capital Mall Dr Sw Ste A, Olympia WA 98502-8654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Abbott, Zachary Ian can be contacted via phone (360) 786-8990.Contact Information
Primary practice address
3901 Capital Mall Dr Sw Ste A
Olympia WA 98502-8654
Phone: (360) 786-8990
Fax: (360) 786-9010
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OP60077457 | Washington |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | OP60077457 | Washington |
Profile Details
NPI number | 1154445203 |
---|---|
LBN Legal business name | Abbott, Zachary Ian |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2007 |
Last updated | Apr 17th, 2013 - about 11 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 | 1154445203 | NPPES |
Washington | MEDICAID | 8537953 |
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