Zeller, Vickie Marie
Zeller, Vickie Marie is an sole proprietor health care provider with primary practice located at 1001 Division St , Prescott AZ 86301-1618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Zeller, Vickie Marie can be contacted via phone (928) 445-4818.Contact Information
Primary practice address
1001 Division St
Prescott AZ 86301-1618
Phone: (928) 445-4818
Fax: (928) 445-4837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1821050196 |
|---|---|
| LBN Legal business name | Zeller, Vickie Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Feb 28th, 2017 - about 8 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 | 1821050196 | NPPES |
| Arizona | Other | 3783 | STATE LICENSE |
| Arizona | MEDICAID | 788372 | STATE LICENSE |
| Arizona | Other | Z183308 | STATE LICENSE |
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