Sacklow, Fred
Sacklow, Fred is an sole proprietor health care provider with primary practice located at 6950 Philips Hwy Ste 11 , Jacksonville FL 32216. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sacklow, Fred can be contacted via phone (904) 239-3677.Contact Information
Primary practice address
6950 Philips Hwy Ste 11
Jacksonville FL 32216
Phone: (904) 239-3677
Fax: (904) 866-4029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R02529-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW14596 | Florida |
Profile Details
| NPI number | 1619968716 |
|---|---|
| LBN Legal business name | Sacklow, Fred |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2005 |
| Last updated | Jun 20th, 2018 - about 7 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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