Dameron, Sally A

Dameron, Sally A is an individual health care provider with primary practice located at 78 Medical Center Dr , Fishersville VA 22939-2332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dameron, Sally A can be contacted via phone (540) 932-4000.

Contact Information

Primary practice address
78 Medical Center Dr Fishersville VA 22939-2332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024167129 Virginia

Profile Details

NPI number 1427153741
LBN Legal business name Dameron, Sally A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 19th, 2014 - about 10 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 1427153741 NPPES
Virginia Other C08081 MEDICARE GROUP

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