Sullivan, Collins Joseph

Sullivan, Collins Joseph is an sole proprietor health care provider with primary practice located at 967 W 7Th St , Oxnard CA 93030-6756. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sullivan, Collins Joseph can be contacted via phone (805) 487-0435.

Contact Information

Primary practice address
967 W 7Th St Oxnard CA 93030-6756
Fax: (805) 487-2119
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 033384 California

Profile Details

NPI number 1649321522
LBN Legal business name Sullivan, Collins Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1649321522 NPPES
California Other 033384 STATE LICENSE

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