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
Fax: (812) 519-3515
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720240195 NPPES
Indiana Other 125915 SIHO
Indiana MEDICAID 201021580A SIHO
Indiana Other 000000714267 SIHO

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