Sacco, Johnny J

Sacco, Johnny J is an individual health care provider with primary practice located at 1921 Stonecipher Dr , Ada OK 74820-3439. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sacco, Johnny J can be contacted via phone (580) 436-3980.

Contact Information

Primary practice address
1921 Stonecipher Dr Ada OK 74820-3439
Phone: (580) 436-3980
Fax: (580) 421-6283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1079255 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 94306 Oklahoma

Profile Details

NPI number 1285607838
LBN Legal business name Sacco, Johnny J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 10th, 2024 - about 2 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 1285607838 NPPES
Oklahoma MEDICAID 200227680A
Oklahoma MEDICAID 009974030

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