Sacks, Paul N

Sacks, Paul N is an individual health care provider with primary practice located at 3525 Resource Drive Room C47 , Randallstown MD 21133. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Sacks, Paul N can be contacted via phone (410) 655-7655.

Contact Information

Primary practice address
3525 Resource Drive Room C47 Randallstown MD 21133
Phone: (410) 655-7655
Fax: (410) 655-3941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA044 Maryland

Profile Details

NPI number 1063505626
LBN Legal business name Sacks, Paul N
Credentials LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1063505626 NPPES
Other RS830027 CAREFIRST GHMSI
Other 60876302 CAREFIRST GHMSI

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