Sacksner, Stacey Marla

Sacksner, Stacey Marla is an sole proprietor health care provider with primary practice located at 64 Old Orchard Center Suite 724, Skokie IL 60077. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sacksner, Stacey Marla can be contacted via phone (847) 675-5667.

Contact Information

Primary practice address
64 Old Orchard Center Suite 724 Skokie IL 60077
Phone: (847) 675-5667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1609932243
LBN Legal business name Sacksner, Stacey Marla
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 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.

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