Sullivan, Corinne

Sullivan, Corinne is an sole proprietor health care provider with primary practice located at 8686 S 1300 E , Sandy UT 84094-1947. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Dietary & Nutritional Service Providers / Nutrition, Education. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Sullivan, Corinne can be contacted via phone (801) 709-0748.

Contact Information

Primary practice address
8686 S 1300 E Sandy UT 84094-1947
Phone: (801) 709-0748
Fax: (801) 609-9852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1669909461
LBN Legal business name Sullivan, Corinne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 7 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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