Provider Demographics
NPI:1093873143
Name:SACHS, DANIEL (LICAC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:SACHS
Suffix:
Gender:M
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:GILL
Mailing Address - State:MA
Mailing Address - Zip Code:01354-9756
Mailing Address - Country:US
Mailing Address - Phone:413-768-9016
Mailing Address - Fax:413-863-5272
Practice Address - Street 1:147 MAIN RD
Practice Address - Street 2:
Practice Address - City:GILL
Practice Address - State:MA
Practice Address - Zip Code:01354-9756
Practice Address - Country:US
Practice Address - Phone:413-768-9016
Practice Address - Fax:413-863-5272
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA168171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist