Sack, Marshall Barnett
Sack, Marshall Barnett is an individual health care provider with primary practice located at 39500 W 10 Mile Rd Ste. 100, Novi MI 48375-2947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sack, Marshall Barnett can be contacted via phone (248) 476-0035.Contact Information
Primary practice address
39500 W 10 Mile Rd Ste. 100
Novi MI 48375-2947
Phone: (248) 476-0035
Fax: (248) 476-2418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101007596 | Michigan |
Profile Details
| NPI number | 1629071170 |
|---|---|
| LBN Legal business name | Sack, Marshall Barnett |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2005 |
| Last updated | Apr 26th, 2010 - about 16 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 | 1629071170 | NPPES |
| Michigan | Other | DR630349 | MCARE |
| Michigan | Other | 0156304195 | MCARE |
| Michigan | Other | MS007596 | MCARE |
| Michigan | Other | A76040 | MCARE |
| Michigan | MEDICAID | 1411744 | MCARE |
| Michigan | Other | 0800028260 | MCARE |
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