Caraballo, Sally

Caraballo, Sally is an sole proprietor health care provider with primary practice located at 55 N Central Ave Suite 3, Fairborn OH 45324-5087. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Caraballo, Sally can be contacted via phone (937) 878-2800.

Contact Information

Primary practice address
55 N Central Ave Suite 3 Fairborn OH 45324-5087
Phone: (937) 878-2800
Fax: (937) 878-7261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 2815 Ohio

Profile Details

NPI number 1659363471
LBN Legal business name Caraballo, Sally
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659363471 NPPES
Ohio MEDICAID 0173726

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