Sackett, Denise Renee

Sackett, Denise Renee is an individual health care provider with primary practice located at 633 E Ray Rd #133, Gilbert AZ 85296-4200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sackett, Denise Renee can be contacted via phone (480) 782-0609.

Contact Information

Primary practice address
633 E Ray Rd #133 Gilbert AZ 85296-4200
Fax: (480) 782-0610
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4020 Arizona

Profile Details

NPI number 1730163361
LBN Legal business name Sackett, Denise Renee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 15th, 2013 - about 11 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 1730163361 NPPES
Arizona MEDICAID 977358

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