Sullivan, Daniel Joseph

Sullivan, Daniel Joseph is an individual health care provider with primary practice located at 1180 Blowing Rock Rd Suite 1A, Boone NC 28607-4883. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sullivan, Daniel Joseph can be contacted via phone (828) 264-2020.

Contact Information

Primary practice address
1180 Blowing Rock Rd Suite 1A Boone NC 28607-4883
Phone: (828) 264-2020
Fax: (828) 264-8918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NC1778 North Carolina

Profile Details

NPI number 1750320404
LBN Legal business name Sullivan, Daniel Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 27th, 2014 - about 10 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 1750320404 NPPES
North Carolina Other 0919I BCBSNC
North Carolina MEDICAID 790919I BCBSNC

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