Elliott, Jon Zachary

Elliott, Jon Zachary is an individual health care provider with primary practice located at 500 J Clyde Morris Blvd Riverside Regional Medical Center, Newport News VA 23601-1929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Elliott, Jon Zachary can be contacted via phone (757) 594-4405.

Contact Information

Primary practice address
500 J Clyde Morris Blvd Riverside Regional Medical Center Newport News VA 23601-1929
Phone: (757) 594-4405
Fax: (757) 594-3547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0102202576 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OT011323 Pennsylvania

Profile Details

NPI number 1215159447
LBN Legal business name Elliott, Jon Zachary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Apr 13th, 2011 - about 13 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 1215159447 NPPES
Virginia Other P00897137 RAILROAD MEDICARE

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