Sullivan, Carol Elizabeth
Sullivan, Carol Elizabeth is an sole proprietor health care provider with primary practice located at 152 Simonds Rd , Lexington MA 02420-1621. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Sullivan, Carol Elizabeth can be contacted via phone (617) 894-4930.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 2433 | Massachusetts |
Profile Details
| NPI number | 1861513327 |
|---|---|
| LBN Legal business name | Sullivan, Carol Elizabeth |
| Credentials | MS, RD, CSO, LDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Feb 23rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861513327 | NPPES |
| Massachusetts | MEDICAID | 1861513327 |
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