Sullivan, Casey
Sullivan, Casey is an individual health care provider with primary practice located at 6911 E Us Highway 36 , Avon IN 46123-8926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Casey can be contacted via phone (317) 272-8033.Contact Information
Primary practice address
6911 E Us Highway 36
Avon IN 46123-8926
Phone: (317) 272-8033
Fax: (317) 272-8044
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002030A | Indiana |
Profile Details
NPI number | 1578762944 |
---|---|
LBN Legal business name | Sullivan, Casey |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2007 |
Last updated | Mar 17th, 2021 - 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 | 1578762944 | NPPES |
Indiana | MEDICAID | 200865470 |
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