Rivera, Sallie Jo

Rivera, Sallie Jo is an individual health care provider with primary practice located at 325 Georgia Ave Ste 200 , North Augusta SC 29841-3848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rivera, Sallie Jo can be contacted via phone (803) 442-5750.

Contact Information

Primary practice address
325 Georgia Ave Ste 200 North Augusta SC 29841-3848
Phone: (803) 442-5750
Fax: (803) 442-5751
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN267435 Georgia

Profile Details

NPI number 1841620218
LBN Legal business name Rivera, Sallie Jo
Credentials FNP-BC, MSN, CIC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2013
Last updated Feb 5th, 2020 - about 6 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 1841620218 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other F400129560 MEDICARE PTAN (GROUP)

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