Zacher, Keith G
Zacher, Keith G is an individual health care provider with primary practice located at 5080 N0Rth 40St Suite 103, Phoenix AZ 85018-8501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Zacher, Keith G can be contacted via phone (480) 772-2453.Contact Information
Primary practice address
5080 N0Rth 40St Suite 103
Phoenix AZ 85018-8501
Phone: (480) 772-2453
Fax: (480) 452-1123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 30227 | Arizona |
Profile Details
| NPI number | 1326029026 |
|---|---|
| LBN Legal business name | Zacher, Keith G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jul 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326029026 | NPPES |
| Arizona | MEDICAID | 695728 |
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