Sack, J Garry
Sack, J Garry is an individual health care provider with primary practice located at 2801 Westhill Dr , Wausau WI 54401-3700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Sack, J Garry can be contacted via phone (715) 847-2021.Contact Information
Primary practice address
2801 Westhill Dr
Wausau WI 54401-3700
Phone: (715) 847-2021
Fax: (715) 847-2325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 18475-020 | Wisconsin |
Profile Details
| NPI number | 1205889565 |
|---|---|
| LBN Legal business name | Sack, J Garry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205889565 | NPPES |
| Wisconsin | MEDICAID | 30108700 |
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