Sack, Jonathan L
Sack, Jonathan L is an sole proprietor health care provider with primary practice located at 2 Marshland Rd , Hilton Head SC 29926-2305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sack, Jonathan L can be contacted via phone (843) 669-5162.Contact Information
Primary practice address
2 Marshland Rd
Hilton Head SC 29926-2305
Phone: (843) 669-5162
Fax: (843) 667-4573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18580 | South Carolina |
Profile Details
| NPI number | 1194780726 |
|---|---|
| LBN Legal business name | Sack, Jonathan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 19th, 2015 - about 9 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 | 1194780726 | NPPES |
| South Carolina | Other | 18580 | STATE LICENSE |
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