Sack, Marshall Barnett

Sack, Marshall Barnett is an individual health care provider with primary practice located at 39500 W 10 Mile Rd Ste. 100, Novi MI 48375-2947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sack, Marshall Barnett can be contacted via phone (248) 476-0035.

Contact Information

Primary practice address
39500 W 10 Mile Rd Ste. 100 Novi MI 48375-2947
Fax: (248) 476-2418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101007596 Michigan

Profile Details

NPI number 1629071170
LBN Legal business name Sack, Marshall Barnett
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2005
Last updated Apr 26th, 2010 - about 14 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 1629071170 NPPES
Michigan Other DR630349 MCARE
Michigan Other 0156304195 MCARE
Michigan Other MS007596 MCARE
Michigan Other A76040 MCARE
Michigan MEDICAID 1411744 MCARE
Michigan Other 0800028260 MCARE

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