Mcgeehan, Sally Waddle
Mcgeehan, Sally Waddle is an individual health care provider with primary practice located at 9800 Shelbyville Rd Suite #220, Louisville KY 40223-2977. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcgeehan, Sally Waddle can be contacted via phone (502) 429-8585.Contact Information
Primary practice address
9800 Shelbyville Rd Suite #220
Louisville KY 40223-2977
Phone: (502) 429-8585
Fax: (502) 753-0889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 298P | Kentucky |
Profile Details
| NPI number | 1679573208 |
|---|---|
| LBN Legal business name | Mcgeehan, Sally Waddle |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jun 3rd, 2010 - about 16 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 | 1679573208 | NPPES |
| Kentucky | MEDICAID | 78001013 | |
| Kentucky | Other | 1881785947 |
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