Primus, Sally G
Primus, Sally G is an sole proprietor health care provider with primary practice located at 1449 Kimber Ln Ste 102A , Evansville IN 47715-4067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Primus, Sally G can be contacted via phone (126) 162-0208.Contact Information
Primary practice address
1449 Kimber Ln Ste 102A
Evansville IN 47715-4067
Phone: (126) 162-0208
Fax: (812) 616-1400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01076710A | Indiana |
Profile Details
| NPI number | 1114292208 |
|---|---|
| LBN Legal business name | Primus, Sally G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2012 |
| Last updated | Nov 18th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114292208 | NPPES |
| Indiana | MEDICAID | 201185390 |
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