Zesk, John S
Zesk, John S is an individual health care provider with primary practice located at 97 Barnes Road , Wallingford CT 06492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Zesk, John S can be contacted via phone (203) 284-3137.Contact Information
Primary practice address
97 Barnes Road
Wallingford CT 06492
Phone: (203) 284-3137
Fax: (203) 284-3130
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 019497 | Connecticut |
Profile Details
NPI number | 1629005004 |
---|---|
LBN Legal business name | Zesk, John S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2006 |
Last updated | Apr 29th, 2008 - about 16 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 | 1629005004 | NPPES |
Connecticut | MEDICAID | 119476 | |
Connecticut | Other | DA0436 |
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