Fife, Sally M
Fife, Sally M is an sole proprietor health care provider with primary practice located at 300 9Th St , Henderson KY 42420-2751. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fife, Sally M can be contacted via phone (270) 827-8681.Contact Information
Primary practice address
300 9Th St
Henderson KY 42420-2751
Phone: (270) 827-8681
Fax: (270) 826-7687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1017DT | Kentucky |
Profile Details
| NPI number | 1053470542 |
|---|---|
| LBN Legal business name | Fife, Sally M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Aug 9th, 2011 - about 15 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 | 1053470542 | NPPES |
| Kentucky | MEDICAID | 7100121660 | |
| Kentucky | Other | 0675230001 | |
| Kentucky | Other | 000000190215 |
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