Irwin, Sally Grace
Irwin, Sally Grace is an individual health care provider with primary practice located at 3012 Anderson Ave , Manhattan KS 66503-2809. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Irwin, Sally Grace can be contacted via phone (785) 537-1118.Contact Information
Primary practice address
3012 Anderson Ave
Manhattan KS 66503-2809
Phone: (785) 537-1118
Fax: (785) 537-8005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1809 | Kansas |
Profile Details
| NPI number | 1417118183 |
|---|---|
| LBN Legal business name | Irwin, Sally Grace |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2008 |
| Last updated | Feb 13th, 2012 - about 14 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 | 1417118183 | NPPES |
| Kansas | MEDICAID | 200576690A |
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