Sullivan, Bernard John
Sullivan, Bernard John is an individual health care provider with primary practice located at 10540 Marty St Ste 155 , Overland Park KS 66212-2654. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Bernard John can be contacted via phone (913) 451-2843.Contact Information
Primary practice address
10540 Marty St Ste 155
Overland Park KS 66212-2654
Phone: (913) 451-2843
Fax: (913) 383-1088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP-0436 | Kansas |
Profile Details
| NPI number | 1528184306 |
|---|---|
| LBN Legal business name | Sullivan, Bernard John |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528184306 | NPPES |
| Kansas | Other | 606084 | BLUE CROSS PROVIDER |
| Kansas | Other | 07571-01-0 | BLUE CROSS PROVIDER |
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