Prugh, Sallie I
Prugh, Sallie I is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Suite 400, Columbia SC 29203-6877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Prugh, Sallie I can be contacted via phone (803) 434-7950.Contact Information
Primary practice address
14 Richland Medical Park Dr Suite 400
Columbia SC 29203-6877
Phone: (803) 434-7950
Fax: (803) 434-8606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APN2421 | South Carolina |
Profile Details
| NPI number | 1720017395 |
|---|---|
| LBN Legal business name | Prugh, Sallie I |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720017395 | NPPES |
| South Carolina | MEDICAID | NP0311 |
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