Zastrow, Connie L.

Zastrow, Connie L. is an individual health care provider with primary practice located at 2950 Squalicum Pkwy Suite A, Bellingham WA 98225-1857. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Zastrow, Connie L. can be contacted via phone (360) 788-6063.

Contact Information

Primary practice address
2950 Squalicum Pkwy Suite A Bellingham WA 98225-1857
Phone: (360) 788-6063
Fax: (360) 788-6817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD60150843 Washington

Profile Details

NPI number 1578547543
LBN Legal business name Zastrow, Connie L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Nov 19th, 2010 - about 15 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 1578547543 NPPES
Washington MEDICAID 1578547543
Washington Other 0262756
Washington Other 0026ZA

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