Colon, Zara

Colon, Zara is an individual health care provider with primary practice located at 10110 Clemson Blvd , Seneca SC 29678-0812. 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. Colon, Zara can be contacted via phone (864) 482-3148.

Contact Information

Primary practice address
10110 Clemson Blvd Seneca SC 29678-0812
Fax: (864) 482-0505
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1908 South Carolina

Profile Details

NPI number 1083956650
LBN Legal business name Colon, Zara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2013
Last updated Jul 8th, 2016 - about 9 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 1083956650 NPPES
South Carolina MEDICAID GP4697

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