Sullivan, Annette Nichole

Sullivan, Annette Nichole is an sole proprietor health care provider with primary practice located at 1025 Marsh St , Mankato MN 56001-4752. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / Chronic Disease Hospital, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Sullivan, Annette Nichole can be contacted via phone (507) 625-4031.

Contact Information

Primary practice address
1025 Marsh St Mankato MN 56001-4752
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125066220 Illinois
Hospitals / Chronic Disease Hospital 281P00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 71763 Minnesota

Profile Details

NPI number 1316328719
LBN Legal business name Sullivan, Annette Nichole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2015
Last updated Jun 16th, 2022 - about 2 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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