Sacks, Jeffrey B
Sacks, Jeffrey B is an individual health care provider with primary practice located at 3725 11Th Cr , Vero Beach FL 32960-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sacks, Jeffrey B can be contacted via phone (772) 562-0163.Contact Information
Primary practice address
3725 11Th Cr
Vero Beach FL 32960-4804
Phone: (772) 562-0163
Fax: (772) 567-5631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME88014 | Florida |
Profile Details
| NPI number | 1962403188 |
|---|---|
| LBN Legal business name | Sacks, Jeffrey B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Sep 6th, 2012 - about 12 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 | 1962403188 | NPPES |
| Florida | Other | 71162 | BLUE CROSS/BLUE SHIELD |
| Florida | MEDICAID | 267458100 | BLUE CROSS/BLUE SHIELD |
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