Gordon Scott Sacks in Madison - Nutrition Support

Gordon Scott Sacks - NPI 1376572420

Gordon Scott Sacks is a Nutrition Support in Madison, Wisconsin. Gordon Scott Sacks practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Gordon Scott Sacks is 1376572420. The last update date is 2007-07-08.

Gordon Scott Sacks's current location address is 600 Highland Ave, Madison, Wisconsin. You can contact this provider via phone number 6082637287 and fax number 6082639424. The mailing address for Gordon Scott Sacks is 600 Highland Ave, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon Scott Sacks
Address 600 Highland Ave, Madison, Wisconsin
Phone Number 6082637287
Fax Number 6082639424
Sole Proprietor Y
Credentials PHARM.D.

NPI Number Detail

NPI Number 1376572420
Provider Enumeration Date 2006-07-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 600 Highland Ave
City Madison
State Wisconsin (WI)
Post Code 5379200010
Phone Number 6082637287
Fax Number 6082639424

Provider's Primary Taxonomy Detail

Speciality Nutrition Support
Taxonomy 1835N1003X
Licence No 13791
Definition:
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

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FAQs about Gordon Scott Sacks

What is the Gordon Scott Sacks's 1376572420?

The Gordon Scott Sacks's NPI (National Provider Identifier) Number is 1376572420. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Gordon Scott Sacks?

The Gordon Scott Sacks is physically situated at 600 Highland Ave, in the city of Madison, state of WI, with the postal code 5379200010.

What is Gordon Scott Sacks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gordon Scott Sacks is Nutrition Support, and the taxonomy code that categorizes this field of expertise is 1835N1003X.

On what date was the 1376572420 assigned to Gordon Scott Sacks?

The Gordon Scott Sacks was issued its 1376572420 on 2006-07-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Gordon Scott Sacks last refreshed?

The information related to the Gordon Scott Sacks, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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