O'Sullivan, Monica M

O'Sullivan, Monica M is an individual health care provider with primary practice located at 11211 W Lincoln Ave , West Allis WI 53227-1035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. O'Sullivan, Monica M can be contacted via phone (414) 454-8300.

Contact Information

Primary practice address
11211 W Lincoln Ave West Allis WI 53227-1035
Phone: (414) 454-8300
Fax: (414) 327-1450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44298 Wisconsin

Profile Details

NPI number 1043262546
LBN Legal business name O'Sullivan, Monica M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 9th, 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 1043262546 NPPES
Other 004000261V HUMANA
MEDICAID 1043262546 HUMANA
MEDICAID 34193700 HUMANA

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