Sullebarger, John T
Sullebarger, John T is an individual health care provider with primary practice located at 4200 N Armenia Ave Suite 5, Tampa FL 33607-6438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Sullebarger, John T can be contacted via phone (813) 284-2200.Contact Information
Primary practice address
4200 N Armenia Ave Suite 5
Tampa FL 33607-6438
Phone: (813) 284-2200
Fax: (813) 377-1700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME62629 | Florida |
Profile Details
NPI number | 1679516728 |
---|---|
LBN Legal business name | Sullebarger, John T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Sep 13th, 2023 - about last year |
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 | 1679516728 | NPPES |
Florida | Other | 17787 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 370815200 | BLUE CROSS BLUE SHIELD |
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