Sullivan, Aneesha Hanan Bakir

Sullivan, Aneesha Hanan Bakir is an sole proprietor health care provider with primary practice located at 11034 N 23Rd Dr Ste 105B , Phoenix AZ 85029-4743. She recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sullivan, Aneesha Hanan Bakir can be contacted via phone (602) 639-0189.

Contact Information

Primary practice address
11034 N 23Rd Dr Ste 105B Phoenix AZ 85029-4743
Fax: (844) 955-2502
Website:

Health care specialties

Profile Details

NPI number 1619151610
LBN Legal business name Sullivan, Aneesha Hanan Bakir
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2007
Last updated Sep 14th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619151610 NPPES
Arizona MEDICAID 669150

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