Sullivan, Christine Louise
Sullivan, Christine Louise is an individual health care provider with primary practice located at 1968 Central Ave , Needham MA 02492-1410. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Sullivan, Christine Louise can be contacted via phone (781) 292-2136.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 111835 | Massachusetts |
Profile Details
| NPI number | 1396840054 |
|---|---|
| LBN Legal business name | Sullivan, Christine Louise |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Oct 3rd, 2008 - about 16 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 | 1396840054 | NPPES |
| Massachusetts | MEDICAID | 1200925 |
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