Weaver, Zachary Crofford

Weaver, Zachary Crofford is an individual health care provider with primary practice located at 21616 76Th Ave W Ste 201A , Edmonds WA 98026-7512. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Weaver, Zachary Crofford can be contacted via phone (425) 673-3400.

Contact Information

Primary practice address
21616 76Th Ave W Ste 201A Edmonds WA 98026-7512
Phone: (425) 673-3400
Fax: (425) 673-3401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60922697 Washington

Profile Details

NPI number 1013482892
LBN Legal business name Weaver, Zachary Crofford
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated Sep 18th, 2020 - 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 1013482892 NPPES
Washington MEDICAID 1013482892

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