Arbuckle, Sally Rae

Arbuckle, Sally Rae is an individual health care provider with primary practice located at 16001 W 9 Mile Rd , Southfield MI 48075-4818. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Arbuckle, Sally Rae can be contacted via phone (248) 849-3000.

Contact Information

Primary practice address
16001 W 9 Mile Rd Southfield MI 48075-4818
Phone: (248) 849-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 4704076259 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X 4704076259 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704076259 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 4704076259 Michigan

Profile Details

NPI number 1114929338
LBN Legal business name Arbuckle, Sally Rae
Credentials RN, NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Nov 18th, 2015 - about 11 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 1114929338 NPPES
Michigan MEDICAID 439455810

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