Sackett, Sean K

Sackett, Sean K is an individual health care provider with primary practice located at 20734 E Maya Rd Ste 101 , Queen Creek AZ 85142-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sackett, Sean K can be contacted via phone (888) 663-6331.

Contact Information

Primary practice address
20734 E Maya Rd Ste 101 Queen Creek AZ 85142-2651
Phone: (888) 663-6331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3872 Arizona

Profile Details

NPI number 1972595940
LBN Legal business name Sackett, Sean K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 6th, 2024 - about last year

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 1972595940 NPPES
Arizona MEDICAID 879174

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