Dennis P. Sullivan, M.D., Inc.

LBN: Dennis P. Sullivan, M.D., Inc.
Dennis P. Sullivan, M.D., Inc. is an health care organization with primary practice located at 30 W. Mccreight Ave Ste 103 , Springfield OH 45504. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dennis P. Sullivan, M.D., Inc. can be contacted via phone (937) 399-8921, or through Sullivan, Dennis Patrick via phone (937) 399-8921.

Contact Information

Primary practice address
30 W. Mccreight Ave Ste 103 Springfield OH 45504
Phone: (937) 399-8921
Fax: (937) 629-9248
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Dennis Patrick Doctor of Medicine (MD)
Phone: (937) 399-8921

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-037690 Ohio

Profile Details

NPI number 1477653897
LBN Legal business name Dennis P. Sullivan, M.D., Inc.
DBA Doing business as
Authorized official Sullivan, Dennis Patrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Feb 1st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477653897 NPPES
Ohio MEDICAID 2945273
Ohio Other SU4262411

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