Sullivan, Andre Jawann

Sullivan, Andre Jawann is an sole proprietor health care provider with primary practice located at 325 Mdg, 340 Magnolia Circle , Tyndall Afb FL 32403. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Sullivan, Andre Jawann can be contacted via phone (703) 731-2566.

Contact Information

Primary practice address
325 Mdg, 340 Magnolia Circle Tyndall Afb FL 32403
Phone: (703) 731-2566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 41880 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R9446 Texas

Profile Details

NPI number 1023162559
LBN Legal business name Sullivan, Andre Jawann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Dec 3rd, 2018 - about 7 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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