Sack, Paul A
Sack, Paul A is an individual health care provider with primary practice located at 200 E 33Rd St Suite 551, Baltimore MD 21218-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Sack, Paul A can be contacted via phone (410) 554-4511.Contact Information
Primary practice address
200 E 33Rd St Suite 551
Baltimore MD 21218-3322
Phone: (410) 554-4511
Fax: (301) 625-1485
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | D60541 | Maryland |
Profile Details
NPI number | 1598707606 |
---|---|
LBN Legal business name | Sack, Paul A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2006 |
Last updated | Dec 9th, 2016 - 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 | 1598707606 | NPPES |
Maryland | Other | 645434-01 | BLUE CROSS/BLUE SHIELD |
Maryland | MEDICAID | 407984100 | BLUE CROSS/BLUE SHIELD |
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