Sullins, Steve Luttrell
Sullins, Steve Luttrell is an individual health care provider with primary practice located at 104 Gin Oaks Ct , Madison AL 35758-1736. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sullins, Steve Luttrell can be contacted via phone (256) 464-6670.Contact Information
Primary practice address
104 Gin Oaks Ct
Madison AL 35758-1736
Phone: (256) 464-6670
Fax: (256) 464-6671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-761-TA-167 | Alabama |
Profile Details
| NPI number | 1740280205 |
|---|---|
| LBN Legal business name | Sullins, Steve Luttrell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Nov 14th, 2007 - about 18 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 | 1740280205 | NPPES |
| Alabama | MEDICAID | 051525296 | |
| Alabama | Other | K232 | |
| Alabama | Other | G900 | |
| Alabama | Other | 51525294 | |
| Alabama | Other | 51525296 |
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