Provider Demographics
NPI:1326912866
Name:BURNS, ZACHARIAH MICHAEL (CPRS)
Entity type:Individual
Prefix:
First Name:ZACHARIAH
Middle Name:MICHAEL
Last Name:BURNS
Suffix:
Gender:M
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-2704
Mailing Address - Country:US
Mailing Address - Phone:757-735-6660
Mailing Address - Fax:
Practice Address - Street 1:428 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-2704
Practice Address - Country:US
Practice Address - Phone:757-735-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4750175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist