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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1447561949 NPPES
Arizona MEDICAID 816579

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