Sacklow, Autumn

Sacklow, Autumn is an sole proprietor health care provider with primary practice located at 140 Academy St # 10 , Presque Isle ME 04769-3102. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Sacklow, Autumn can be contacted via phone (207) 764-6310.

Contact Information

Primary practice address
140 Academy St # 10 Presque Isle ME 04769-3102
Phone: (207) 764-6310
Fax: (207) 764-6993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X MD27947 Maine

Profile Details

NPI number 1427552678
LBN Legal business name Sacklow, Autumn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2018
Last updated Jun 27th, 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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