Young, Zachary Timothy

Young, Zachary Timothy is an individual health care provider with primary practice located at 4500 Memorial Dr Dept Anesthesiology, Belleville IL 62226-5360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Young, Zachary Timothy can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
4500 Memorial Dr Dept Anesthesiology Belleville IL 62226-5360
Fax: (314) 362-7785
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036118895 Illinois

Profile Details

NPI number 1952503807
LBN Legal business name Young, Zachary Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Nov 15th, 2021 - about 4 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 1952503807 NPPES
Missouri MEDICAID 200036899

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