Johnson, Zelda West

Johnson, Zelda West is an individual health care provider with primary practice located at 4101 Dominion Blvd , Glen Allen VA 23060-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Zelda West can be contacted via phone (804) 908-3489.

Contact Information

Primary practice address
4101 Dominion Blvd Glen Allen VA 23060-3457
Phone: (804) 908-3489
Fax: (804) 232-1592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101057120 Virginia

Profile Details

NPI number 1801933007
LBN Legal business name Johnson, Zelda West
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 16th, 2019 - about 5 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 1801933007 NPPES
Virginia MEDICAID 005602912
Virginia Other 453771
Virginia Other 259227

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