O'Callaghan, Sally

O'Callaghan, Sally is an individual health care provider with primary practice located at 4401 Middle Settlement Rd , New Hartford NY 13413-5331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. O'Callaghan, Sally can be contacted via phone (315) 797-2398.

Contact Information

Primary practice address
4401 Middle Settlement Rd New Hartford NY 13413-5331
Fax: (315) 797-2419
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F330356-0 New York

Profile Details

NPI number 1912997214
LBN Legal business name O'Callaghan, Sally
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Mar 6th, 2012 - about 12 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 1912997214 NPPES
New York MEDICAID 01967495
New York Other P00666209

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