O'Sullivan, Jeremiah
O'Sullivan, Jeremiah is an sole proprietor health care provider with primary practice located at 2218 Main Street , Buffalo NY 14214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. O'Sullivan, Jeremiah can be contacted via phone (716) 834-4141.Contact Information
Primary practice address
2218 Main Street
Buffalo NY 14214
Phone: (716) 834-4141
Fax: (716) 838-5840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 100021 | New York |
Profile Details
| NPI number | 1104893833 |
|---|---|
| LBN Legal business name | O'Sullivan, Jeremiah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 10th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104893833 | NPPES |
| New York | MEDICAID | 00611243 |
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