Sack, David Andrew
Sack, David Andrew is an sole proprietor health care provider with primary practice located at 19456 Woodlands Ln , Huntington Beach CA 92648-5570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sack, David Andrew can be contacted via phone (562) 965-3193.Contact Information
Primary practice address
19456 Woodlands Ln
Huntington Beach CA 92648-5570
Phone: (562) 965-3193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G40374 | California |
Profile Details
| NPI number | 1467657882 |
|---|---|
| LBN Legal business name | Sack, David Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2007 |
| Last updated | Jun 21st, 2024 - about 6 months 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 | 1467657882 | NPPES |
| California | Other | 753230482 | NPI FOR MEDICAL CORP |
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