Schumacher, Zachary

Schumacher, Zachary is an individual health care provider with primary practice located at 200 N Emerald Ln , Carbondale IL 62901-2159. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Schumacher, Zachary can be contacted via phone (618) 456-6703.

Contact Information

Primary practice address
200 N Emerald Ln Carbondale IL 62901-2159
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1649866450
LBN Legal business name Schumacher, Zachary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2020
Last updated Dec 15th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649866450 NPPES
Illinois MEDICAID IL2970

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