Sacks, Andrew Robert
Sacks, Andrew Robert is an individual health care provider with primary practice located at 3122 Willow Creek Rd , Prescott AZ 86301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Sacks, Andrew Robert can be contacted via phone (928) 445-7632.Contact Information
Primary practice address
3122 Willow Creek Rd
Prescott AZ 86301
Phone: (928) 445-7632
Fax: (928) 445-9283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 005933 | Arizona |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 005933 | Arizona |
Profile Details
| NPI number | 1447561949 |
|---|---|
| LBN Legal business name | Sacks, Andrew Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2010 |
| Last updated | Jun 26th, 2018 - about 8 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 | 1447561949 | NPPES |
| Arizona | MEDICAID | 816579 |
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