Lee, Sally S.

Lee, Sally S. is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Lee, Sally S. can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD424986 Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 219997-1 New York

Profile Details

NPI number 1447221189
LBN Legal business name Lee, Sally S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Sep 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447221189 NPPES
Pennsylvania Other P00173973 RR MEDICARE
Pennsylvania Other GU040072 RR MEDICARE
Pennsylvania MEDICAID 02411636 RR MEDICARE
Pennsylvania MEDICAID 1010814360001 RR MEDICARE

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