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
Fax: (703) 228-5234
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1497812432 NPPES
Virginia MEDICAID 4945042

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