Vanzelst, Jacobus G
Vanzelst, Jacobus G is an individual health care provider with primary practice located at 1361 Sara Way Se , Rio Rancho NM 87124-0999. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vanzelst, Jacobus G can be contacted via phone (505) 377-3841.Contact Information
Primary practice address
1361 Sara Way Se
Rio Rancho NM 87124-0999
Phone: (505) 377-3841
Fax: (505) 891-7811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1012 | New Mexico |
Profile Details
| NPI number | 1073591095 |
|---|---|
| LBN Legal business name | Vanzelst, Jacobus G |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Oct 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073591095 | NPPES |
| New Mexico | MEDICAID | 48677876 |
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