Zackrisson, Jill Annemarie

Zackrisson, Jill Annemarie is an individual health care provider with primary practice located at 2004 Bremo Rd Ste 100 , Richmond VA 23226-2442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Zackrisson, Jill Annemarie can be contacted via phone (804) 442-7794.

Contact Information

Primary practice address
2004 Bremo Rd Ste 100 Richmond VA 23226-2442
Phone: (804) 442-7794
Fax: (804) 767-2030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2012-00268 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101254457 Virginia

Profile Details

NPI number 1568697415
LBN Legal business name Zackrisson, Jill Annemarie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2009
Last updated Mar 24th, 2017 - about 9 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 1568697415 NPPES
Virginia Other C06778 GROUP PTAN
Virginia Other C09633 GROUP PTAN

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