Zasuly, James M

Zasuly, James M is an individual health care provider with primary practice located at 2605 Development Dr , Green Bay WI 54311-4240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Zasuly, James M can be contacted via phone (920) 288-8240.

Contact Information

Primary practice address
2605 Development Dr Green Bay WI 54311-4240
Fax: (920) 857-1488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 43535 Wisconsin

Profile Details

NPI number 1932120573
LBN Legal business name Zasuly, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 24th, 2018 - about 6 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 1932120573 NPPES
Wisconsin MEDICAID 34113800

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