Sullivan, Carl Rollynn

Sullivan, Carl Rollynn is an individual health care provider with primary practice located at 930 Chestnut Ridge Rd , Morgantown WV 26505-2807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sullivan, Carl Rollynn can be contacted via phone (304) 598-4214.

Contact Information

Primary practice address
930 Chestnut Ridge Rd Morgantown WV 26505-2807
Phone: (304) 598-4214
Fax: (304) 293-6963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12776 West Virginia

Profile Details

NPI number 1346214061
LBN Legal business name Sullivan, Carl Rollynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Oct 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346214061 NPPES
West Virginia MEDICAID 0084832000
West Virginia MEDICAID 3810008253

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