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:
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Health care specialties

SpecialtyCodeLicense #State
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 Oct 29th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861680704 NPPES
Illinois Other 5815191 BC/BS

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