Provider Demographics
NPI:1851930994
Name:SACHS, EDEN MAJESTY (SOLE PROPRIETOR)
Entity Type:Individual
Prefix:MS
First Name:EDEN
Middle Name:MAJESTY
Last Name:SACHS
Suffix:
Gender:F
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 STRATFORD AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-3274
Mailing Address - Country:US
Mailing Address - Phone:051-330-2000
Mailing Address - Fax:
Practice Address - Street 1:2235 STRATFORD AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-3274
Practice Address - Country:US
Practice Address - Phone:051-330-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor