Zachary Lee Sowa in Decatur - Physician Assistant
Zachary Lee Sowa - NPI 1861680704
Zachary Lee Sowa is a Physician Assistant in Decatur, Illinois. Zachary Lee Sowa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Zachary Lee Sowa is 1861680704. The last update date is 2010-10-29.
Zachary Lee Sowa's current location address is 1900 E Lake Shore Dr, Decatur, Illinois. You can contact this provider via phone number 2174641030 and fax number 2174641039. The mailing address for Zachary Lee Sowa is 1900 E Lake Shore Dr, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Zachary Lee Sowa |
|---|---|
| Address | 1900 E Lake Shore Dr, Decatur, Illinois |
| Phone Number | 2174641030 |
| Fax Number | 2174641039 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1861680704 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2010-10-29 |
Provider Mailing Address Detail
| Address | 1900 E Lake Shore Dr |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625213846 |
| Phone Number | 2174641030 |
| Fax Number | 2174641039 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5815191 | IL | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Zachary Lee Sowa by the Centers for Medicare & Medicaid Services?
The Zachary Lee Sowa has been issued the NPI (National Provider Identifier) 1861680704, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Zachary Lee Sowa?
The Zachary Lee Sowa is physically situated at 1900 E Lake Shore Dr, in the city of Decatur, state of IL, with the postal code 625213846.
What is Zachary Lee Sowa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Zachary Lee Sowa is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861680704 to Zachary Lee Sowa?
The Zachary Lee Sowa received its 1861680704 assignment from the Centers for Medicare & Medicaid Services on 2007-10-04.
As of what date were the details pertaining to Zachary Lee Sowa last refreshed?
The information related to the Zachary Lee Sowa, including its address, specialty, and other relevant details, was last updated on 2010-10-29.