Sullivan, Andrea N
Sullivan, Andrea N is an individual health care provider with primary practice located at 3535 Garrett Dr , Santa Clara CA 95054-2811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sullivan, Andrea N can be contacted via phone (408) 986-7777.Contact Information
Primary practice address
3535 Garrett Dr
Santa Clara CA 95054-2811
Phone: (408) 986-7777
Fax: (408) 297-6509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A73842 | California |
Profile Details
| NPI number | 1265496905 |
|---|---|
| LBN Legal business name | Sullivan, Andrea N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jun 4th, 2015 - 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 | 1265496905 | NPPES |
| Other | MMM00087M | NHIC |
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