Sacks-Wilner, Richard
Sacks-Wilner, Richard is an individual health care provider with primary practice located at 721 River Drive Suite A, Fort Bragg CA 95437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sacks-Wilner, Richard can be contacted via phone (707) 964-7241.Contact Information
Primary practice address
721 River Drive Suite A
Fort Bragg CA 95437
Phone: (707) 964-7241
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G84847 | California |
Profile Details
| NPI number | 1992717920 |
|---|---|
| LBN Legal business name | Sacks-Wilner, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992717920 | NPPES |
| California | Other | 00G848470 | MEDI-CAL |
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