Eberle, Sally M

Eberle, Sally M is an individual health care provider with primary practice located at 1250 21St Ave Se , Minot ND 58701-6256. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Eberle, Sally M can be contacted via phone (701) 857-5747.

Contact Information

Primary practice address
1250 21St Ave Se Minot ND 58701-6256
Fax: (701) 857-2637
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R30583 North Dakota

Profile Details

NPI number 1255590220
LBN Legal business name Eberle, Sally M
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 25th, 2021 - about 3 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 1255590220 NPPES
North Dakota MEDICAID 1451985

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