Cullivan, Jessica Quantz

Cullivan, Jessica Quantz is an sole proprietor health care provider with primary practice located at 205 Palmer Avenue , Bellefontaine OH 43311. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Cullivan, Jessica Quantz can be contacted via phone (937) 599-7018.

Contact Information

Primary practice address
205 Palmer Avenue Bellefontaine OH 43311
Phone: (937) 599-7018
Fax: (937) 599-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35091140 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35091140 Ohio

Profile Details

NPI number 1700055530
LBN Legal business name Cullivan, Jessica Quantz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2008
Last updated Jul 15th, 2021 - about 3 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 1700055530 NPPES
Ohio MEDICAID 2866975

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