Sullivan, Coleen
Sullivan, Coleen is an individual health care provider with primary practice located at 400 Hualani St Bldg 9 Suite 192, Hilo HI 96720-4378. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sullivan, Coleen can be contacted via phone (808) 935-6620.Contact Information
Primary practice address
400 Hualani St Bldg 9 Suite 192
Hilo HI 96720-4378
Phone: (808) 935-6620
Fax: (808) 935-6781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4503 | Arizona |
| Dental Providers / General Practice | 1223G0001X | DT-2596 | Hawaii |
Profile Details
| NPI number | 1669466280 |
|---|---|
| LBN Legal business name | Sullivan, Coleen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Dec 19th, 2016 - about 8 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 | 1669466280 | NPPES |
| Arizona | MEDICAID | 191958 |
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