Sullivan, Connor J

Sullivan, Connor J is an sole proprietor health care provider with primary practice located at 7 Blanchard Cir Ste 104 , Wheaton IL 60189-2038. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sullivan, Connor J can be contacted via phone (630) 668-0833.

Contact Information

Primary practice address
7 Blanchard Cir Ste 104 Wheaton IL 60189-2038
Phone: (630) 668-0833
Fax: (630) 668-7685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085008447 Illinois

Profile Details

NPI number 1881282523
LBN Legal business name Sullivan, Connor J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2021
Last updated Nov 8th, 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.

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