Sacksner, Jordy Steven

Sacksner, Jordy Steven is an individual health care provider with primary practice located at 6900 Orchard Lake Rd Suite 203, West Bloomfield MI 48322-3405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sacksner, Jordy Steven can be contacted via phone (248) 865-2575.

Contact Information

Primary practice address
6900 Orchard Lake Rd Suite 203 West Bloomfield MI 48322-3405
Phone: (248) 865-2575
Fax: (248) 865-2590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X JS059227 Michigan

Profile Details

NPI number 1962563056
LBN Legal business name Sacksner, Jordy Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jan 4th, 2019 - 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 1962563056 NPPES
Michigan MEDICAID 1962563056

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