Sack, David M

Sack, David M is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sack, David M can be contacted via phone (603) 695-2500.

Contact Information

Primary practice address
100 Hitchcock Way Manchester NH 03104-4125
Phone: (603) 695-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 027392 Connecticut
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X EL10071 New Hampshire

Profile Details

NPI number 1710986898
LBN Legal business name Sack, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Oct 3rd, 2022 - 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 1710986898 NPPES
Connecticut MEDICAID 1273929

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