Zeller, David Allen
Zeller, David Allen is an individual health care provider with primary practice located at 2480 Llewellyn Ave Ste 5800 , Fort Meade MD 20755-5129. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Zeller, David Allen can be contacted via phone (253) 677-7655.Contact Information
Primary practice address
2480 Llewellyn Ave Ste 5800
Fort Meade MD 20755-5129
Phone: (253) 677-7655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C07116 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60277854 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1194884098 |
|---|---|
| LBN Legal business name | Zeller, David Allen |
| Credentials | MPAS PA-C, APA, CCHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Oct 27th, 2020 - about 4 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 | 1194884098 | NPPES |
| Washington | Other | PA60277854 | PHYSICIAN ASSISTANT LICENSE, WASHINGTON STATE |
| Washington | Other | C07116 | PHYSICIAN ASSISTANT LICENSE, WASHINGTON STATE |
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