Sacks, Carol Ruth
Sacks, Carol Ruth is an individual health care provider with primary practice located at 1725 N George Mason Dr , Arlington VA 22205-3675. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sacks, Carol Ruth can be contacted via phone (703) 228-4872.Contact Information
Primary practice address
1725 N George Mason Dr
Arlington VA 22205-3675
Phone: (703) 228-4872
Fax: (703) 228-5234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001753 | Virginia |
Profile Details
| NPI number | 1497812432 |
|---|---|
| LBN Legal business name | Sacks, Carol Ruth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497812432 | NPPES |
| Virginia | MEDICAID | 4945042 |
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