Sacks, Alan I.

Sacks, Alan I. is an individual health care provider with primary practice located at 1675 Trinity Dr , Pensacola FL 32504-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Sacks, Alan I. can be contacted via phone (850) 416-1575.

Contact Information

Primary practice address
1675 Trinity Dr Pensacola FL 32504-5708
Phone: (850) 416-1575
Fax: (850) 416-7435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME79325 Florida

Profile Details

NPI number 1720094162
LBN Legal business name Sacks, Alan I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 14th, 2019 - about 6 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 1720094162 NPPES
Florida MEDICAID 257679100
Florida MEDICAID 009928760

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