Rowley-Sullivan, Cynthia
Rowley-Sullivan, Cynthia is an individual health care provider with primary practice located at 104 W 18Th Ave , Coal Valley IL 61240-9337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rowley-Sullivan, Cynthia can be contacted via phone (309) 799-7518.Contact Information
Primary practice address
104 W 18Th Ave
Coal Valley IL 61240-9337
Phone: (309) 799-7518
Fax: (309) 799-3886
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085002201 | Illinois |
Profile Details
NPI number | 1639142458 |
---|---|
LBN Legal business name | Rowley-Sullivan, Cynthia |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 2006 |
Last updated | Jan 15th, 2014 - about 10 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 | 1639142458 | NPPES |
Illinois | MEDICAID | 1639142458 | |
Illinois | Other | 93342 | |
Illinois | Other | IL01W4 | |
Illinois | Other | 362739299001 |
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