Caraballo, Sally
Caraballo, Sally is an sole proprietor health care provider with primary practice located at 55 N Central Ave Suite 3, Fairborn OH 45324-5087. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Caraballo, Sally can be contacted via phone (937) 878-2800.Contact Information
Primary practice address
55 N Central Ave Suite 3
Fairborn OH 45324-5087
Phone: (937) 878-2800
Fax: (937) 878-7261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 2815 | Ohio |
Profile Details
| NPI number | 1659363471 |
|---|---|
| LBN Legal business name | Caraballo, Sally |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1659363471 | NPPES |
| Ohio | MEDICAID | 0173726 |
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