Jaffa, Zachary A

Jaffa, Zachary A is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Jaffa, Zachary A can be contacted via phone (262) 434-1000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Phone: (262) 434-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036153250 Illinois
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 22338 Wisconsin

Profile Details

NPI number 1679998587
LBN Legal business name Jaffa, Zachary A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2014
Last updated Jun 26th, 2023 - about last year

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 1679998587 NPPES
Wisconsin MEDICAID 100205181

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