Mcenroe, Sally R.

Mcenroe, Sally R. is an individual health care provider with primary practice located at 101 Hardin Ln , Somerset KY 42503-3814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mcenroe, Sally R. can be contacted via phone (606) 679-7348.

Contact Information

Primary practice address
101 Hardin Ln Somerset KY 42503-3814
Fax: (606) 679-4097
Website:

Health care specialties

Profile Details

NPI number 1932190212
LBN Legal business name Mcenroe, Sally R.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 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 1932190212 NPPES
Kentucky MEDICAID 78001484

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