Daggy, Sally
Daggy, Sally is an individual health care provider with primary practice located at 600 S Jackson Park Dr , Seymour IN 47274-2626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Daggy, Sally can be contacted via phone (812) 519-2963.Contact Information
Primary practice address
600 S Jackson Park Dr
Seymour IN 47274-2626
Phone: (812) 519-2963
Fax: (812) 519-3515
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002659A | Indiana |
Profile Details
NPI number | 1720240195 |
---|---|
LBN Legal business name | Daggy, Sally |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2008 |
Last updated | Jul 20th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720240195 | NPPES |
Indiana | Other | 125915 | SIHO |
Indiana | MEDICAID | 201021580A | SIHO |
Indiana | Other | 000000714267 | SIHO |
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