Sacks, Justin M

Sacks, Justin M is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Plastics, Ste 6G, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Sacks, Justin M can be contacted via phone (314) 362-7388.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Plastics, Ste 6G Saint Louis MO 63110-1032
Phone: (314) 362-7388
Fax: (833) 301-0853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2020005824 Missouri
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2020005824 Missouri

Profile Details

NPI number 1497835946
LBN Legal business name Sacks, Justin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 25th, 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 1497835946 NPPES
Missouri MEDICAID 200080860

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