James S Sullivan M.D. Pa

LBN: James S Sullivan M.D. Pa
James S Sullivan M.D. Pa is an health care organization with primary practice located at 4300 Main St W Suite 16, Dothan AL 36301-1098. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. James S Sullivan M.D. Pa can be contacted via phone (334) 793-1038, or through Sullivan, James S via phone (334) 793-1038.

Contact Information

Primary practice address
4300 Main St W Suite 16 Dothan AL 36301-1098
Fax: (334) 615-8444
Website:
Authorized official contact:
Name: Sullivan, James S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5184 Alabama

Profile Details

NPI number 1083714042
LBN Legal business name James S Sullivan M.D. Pa
DBA Doing business as
Authorized official Sullivan, James S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 25th, 2007 - about 18 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 1083714042 NPPES
Alabama MEDICAID 000010568

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