Sack, Bruce M
Sack, Bruce M is an individual health care provider with primary practice located at 28800 Orchard Lake Rd Suite 250, Farmington Hills MI 48334-2981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sack, Bruce M can be contacted via phone (248) 932-2500.Contact Information
Primary practice address
28800 Orchard Lake Rd Suite 250
Farmington Hills MI 48334-2981
Phone: (248) 932-2500
Fax: (248) 932-2506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301042773 | Michigan |
Profile Details
| NPI number | 1972505303 |
|---|---|
| LBN Legal business name | Sack, Bruce M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972505303 | NPPES |
| Michigan | MEDICAID | 1481490 |
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