Zackery J Tegge, MCMS, PA-C
Physician Assistant in Christiansted, U.S. Virgin Islands
1366974123- Practice location
- 4007 Estate Diamond Ruby, Christiansted, VI 00820
- Phone
- 340-778-6311
- Fax
- —
- Last updated
- April 7, 2022
Zackery J Tegge is a Physician Assistant based in Christiansted, VI. Zackery J Tegge practices in Christiansted, VI and has the professional credentials of MCMS, PA-C. The NPI Number for Zackery J Tegge is 1366974123 and holds a License No. 4320 (WI). The current practice location address for Zackery J Tegge is 4007 Estate Diamond Ruby, Christiansted, VI 00820 and can be reached out via phone at 340-778-6311.
Provider Profile Details
- NPI Number
- 1366974123
- Provider Name
- Zackery J Tegge
- Credential
- MCMS, PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4007 Estate Diamond Ruby, Christiansted, VI 00820
- Phone Number
- 340-778-6311
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2017
- Last Update Date
- April 7, 2022
- Certification Date
- April 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4007 Estate Diamond Ruby
Christiansted, VI 00820 - City
- Christiansted
- State
- U.S. Virgin Islands
- Zip
- 00820
- Phone Number
- 340-778-6311
Provider Business Mailing Address Details
- Address
- 1035 Kepler Dr
Green Bay, WI 54311-8320 - City
- Green Bay
- State
- WI
- Zip
- 54311-8320
License Information
- License Number
- 4320
- License State
- WI
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Zackery J Tegge, MCMS, PA-C?
The NPI number of Zackery J Tegge, MCMS, PA-C is 1366974123. It was assigned on March 31, 2017 and is currently active in the NPPES registry.
What is the specialty of Zackery J Tegge, MCMS, PA-C?
Zackery J Tegge, MCMS, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in WI under license number 4320.
Where does Zackery J Tegge, MCMS, PA-C practice?
The practice location is 4007 Estate Diamond Ruby, Christiansted, VI 00820. The office can be reached at 340-778-6311 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366974123 directly on the NPPES registry website.