Jesse Sally is a Sports Medicine in Pittsburgh, Pennsylvania. Jesse Sally practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jesse Sally is 1447419981. The last update date is 2015-05-01.
Jesse Sally's current location address is 107 Gamma Dr, Pittsburgh, Pennsylvania. You can contact this provider via phone number 4129636480 and fax number 4129636820. The mailing address for Jesse Sally is 107 Gamma Dr, Pittsburgh, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Sally |
|---|---|
| Address | 107 Gamma Dr, Pittsburgh, Pennsylvania |
| Phone Number | 4129636480 |
| Fax Number | 4129636820 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1447419981 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2015-05-01 |
Provider Mailing Address Detail
| Address | 107 Gamma Dr |
|---|---|
| City | Pittsburgh |
| State | Pennsylvania (PA) |
| Post Code | 152382917 |
| Phone Number | 4129636480 |
| Fax Number | 4129636820 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | OS016173 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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What is the unique 10-digit identification code assigned to Jesse Sally by the Centers for Medicare & Medicaid Services?
The Jesse Sally has been issued the NPI (National Provider Identifier) 1447419981, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jesse Sally?
The Jesse Sally is situated at 107 Gamma Dr, in the city of Pittsburgh, state of PA, with the zip code 152382917.
What is the Jesse Sally's area of specialization and corresponding taxonomy classification?
The Jesse Sally's specialty field is Sports Medicine, and it falls under the taxonomy code 2081S0010X, which categorizes healthcare providers based on their specialties.
On what date was the 1447419981 assigned to Jesse Sally?
The Jesse Sally was issued its 1447419981 on 2008-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jesse Sally, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jesse Sally, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-05-01.
NPI Number: 1932102142
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