Zegarra, Ted Edward

Zegarra, Ted Edward is an individual health care provider with primary practice located at 1739 E Beverly Ave Suite 201, Kingman AZ 86409-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zegarra, Ted Edward can be contacted via phone (928) 692-3456.

Contact Information

Primary practice address
1739 E Beverly Ave Suite 201 Kingman AZ 86409-3593
Phone: (928) 692-3456
Fax: (928) 692-7071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29946 Arizona

Profile Details

NPI number 1063492676
LBN Legal business name Zegarra, Ted Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 7th, 2023 - about 3 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 1063492676 NPPES
Arizona MEDICAID 871203
Arizona Other 29946

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