Tegge, Zackery J

Tegge, Zackery J is an individual health care provider with primary practice located at 4007 Estate Diamond Ruby , Christiansted VI 00820. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tegge, Zackery J can be contacted via phone (340) 778-6311.

Contact Information

Primary practice address
4007 Estate Diamond Ruby Christiansted VI 00820
Phone: (340) 778-6311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4320 Wisconsin

Profile Details

NPI number 1366974123
LBN Legal business name Tegge, Zackery J
Credentials MCMS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2017
Last updated Apr 7th, 2022 - about 3 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 1366974123 NPPES
Wisconsin MEDICAID 100077680

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