Zella, Garrett Christian
Zella, Garrett Christian is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Zella, Garrett Christian can be contacted via phone (774) 441-8082.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (774) 441-8082
Fax: (774) 441-8056
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 230232 | Massachusetts |
Profile Details
NPI number | 1164558805 |
---|---|
LBN Legal business name | Zella, Garrett Christian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 26th, 2007 |
Last updated | Aug 17th, 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 | 1164558805 | NPPES |
Massachusetts | MEDICAID | 110078751A |
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