Sullivan, Angela L
Sullivan, Angela L is an individual health care provider with primary practice located at 110 Columbia Point Dr , Richland WA 99352-4387. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Sullivan, Angela L can be contacted via phone (509) 946-7692.Contact Information
Primary practice address
110 Columbia Point Dr
Richland WA 99352-4387
Phone: (509) 946-7692
Fax: (509) 943-8639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00034466 | Washington |
Profile Details
| NPI number | 1396720835 |
|---|---|
| LBN Legal business name | Sullivan, Angela L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jun 28th, 2019 - about 5 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 | 1396720835 | NPPES |
| Washington | Other | CH00034466 | STATE LICENSE |
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