Ehlers, Sally Maria
Ehlers, Sally Maria is an individual health care provider with primary practice located at 1720 Cooks Hill Rd , Centralia WA 98531-9071. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ehlers, Sally Maria can be contacted via phone (360) 736-1195.Contact Information
Primary practice address
1720 Cooks Hill Rd
Centralia WA 98531-9071
Phone: (360) 736-1195
Fax: (360) 736-4952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00034793 | Washington |
Profile Details
| NPI number | 1568410447 |
|---|---|
| LBN Legal business name | Ehlers, Sally Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 9th, 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 | 1568410447 | NPPES |
| Other | 20036773 | RR MEDICARE | |
| Other | 0115510 | RR MEDICARE | |
| Other | EH0239 | RR MEDICARE | |
| MEDICAID | 8209868 | RR MEDICARE |
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