Wahl, Sallie Mitchell

Wahl, Sallie Mitchell is an individual health care provider with primary practice located at 515 N Spence Ave , Goldsboro NC 27534. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wahl, Sallie Mitchell can be contacted via phone (919) 778-7110.

Contact Information

Primary practice address
515 N Spence Ave Goldsboro NC 27534
Fax: (919) 778-6057
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1961 North Carolina

Profile Details

NPI number 1285661728
LBN Legal business name Wahl, Sallie Mitchell
Credentials OD PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 16th, 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 1285661728 NPPES
North Carolina Other DA3706 MEDICARE RAILROAD
North Carolina MEDICAID 899024C MEDICARE RAILROAD
North Carolina Other 9024C MEDICARE RAILROAD

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