Sullivan, Cheryl A

Sullivan, Cheryl A is an individual health care provider with primary practice located at 707 N Logan Ave Danville Polyclinic, Ltd., Danville IL 61832-4360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sullivan, Cheryl A can be contacted via phone (217) 477-4784.

Contact Information

Primary practice address
707 N Logan Ave Danville Polyclinic, Ltd. Danville IL 61832-4360
Phone: (217) 477-4784
Fax: (217) 477-4704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209008516 Illinois

Profile Details

NPI number 1427353598
LBN Legal business name Sullivan, Cheryl A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2011
Last updated Jan 12th, 2015 - about 9 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 1427353598 NPPES
Indiana MEDICAID 201080250

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