Sowa, Zachary Lee
Sowa, Zachary Lee is an individual health care provider with primary practice located at 1900 E Lake Shore Dr Suite 200, Decatur IL 62521-3846. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sowa, Zachary Lee can be contacted via phone (217) 464-1030.Contact Information
Primary practice address
1900 E Lake Shore Dr Suite 200
Decatur IL 62521-3846
Phone: (217) 464-1030
Fax: (217) 464-1039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2020019036 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Illinois |
Profile Details
| NPI number | 1861680704 |
|---|---|
| LBN Legal business name | Sowa, Zachary Lee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2007 |
| Last updated | May 29th, 2025 - about last year |
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 | 1861680704 | NPPES |
| Illinois | Other | 5815191 | BC/BS |
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