Zagol, Brian Wittmus
Zagol, Brian Wittmus is an individual health care provider with primary practice located at 158 Executive Dr , Danville VA 24541-4100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Zagol, Brian Wittmus can be contacted via phone (434) 791-1088.Contact Information
Primary practice address
158 Executive Dr
Danville VA 24541-4100
Phone: (434) 791-1088
Fax: (434) 799-8525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101234822 | Virginia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 39369 | Tennessee |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Virginia | |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 0101234822 | Virginia |
Profile Details
| NPI number | 1902901556 |
|---|---|
| LBN Legal business name | Zagol, Brian Wittmus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 6th, 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 | 1902901556 | NPPES |
| Tennessee | MEDICAID | 3337419 | |
| Tennessee | Other | 4121983 |
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