Provider Demographics
NPI:1740279371
Name:SACHS, SCOTT D (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:D
Last Name:SACHS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 N NOB HILL RD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1079
Mailing Address - Country:US
Mailing Address - Phone:954-423-2323
Mailing Address - Fax:954-423-1116
Practice Address - Street 1:977 N NOB HILL RD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1079
Practice Address - Country:US
Practice Address - Phone:954-423-2323
Practice Address - Fax:954-423-1116
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380970600Medicaid
U62478Medicare UPIN
55382Medicare ID - Type Unspecified