Sullivan, Debra

Sullivan, Debra is an individual health care provider with primary practice located at 130 Divsiion Street , Derby CT 06418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Sullivan, Debra can be contacted via phone (203) 732-7403.

Contact Information

Primary practice address
130 Divsiion Street Derby CT 06418
Phone: (203) 732-7403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001807 Connecticut

Profile Details

NPI number 1396836714
LBN Legal business name Sullivan, Debra
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 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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