Zachary Schott Llc | |
8000 Jerry Dove Dr Ste 110 Bridgeport WV 26330-9171 | |
(304) 969-4885 | |
Not Available |
Full Name | Zachary Schott Llc |
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Speciality | Clinic/Center |
Location | 8000 Jerry Dove Dr Ste 110, Bridgeport, West Virginia |
Authorized Official Name and Position | Zachary Schott (OWNER) |
Authorized Official Contact | 3045181861 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zachary Schott Llc 207 Gandalf Rd Masontown WV 26542-9023 Ph: () - | Zachary Schott Llc 8000 Jerry Dove Dr Ste 110 Bridgeport WV 26330-9171 Ph: (304) 969-4885 |
NPI Number | 1619791563 |
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Provider Enumeration Date | 11/07/2024 |
Last Update Date | 11/07/2024 |
Medicare PECOS PAC ID | 2062942303 |
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Medicare Enrollment ID | O20250216000031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619791563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Zachary Schott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861073025 PECOS PAC ID: 5890194245 Enrollment ID: I20220718000329 |
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