Fiesta, James Sullivan

Fiesta, James Sullivan is an sole proprietor health care provider with primary practice located at 610 E Crawford Ave Suite B, Connellsville PA 15425-2171. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fiesta, James Sullivan can be contacted via phone (724) 603-2516.

Contact Information

Primary practice address
610 E Crawford Ave Suite B Connellsville PA 15425-2171
Phone: (724) 603-2516
Fax: (724) 603-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW126437 Pennsylvania

Profile Details

NPI number 1013243252
LBN Legal business name Fiesta, James Sullivan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2009
Last updated Feb 21st, 2017 - about 7 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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