Sullivan, Dian
Sullivan, Dian is an individual health care provider with primary practice located at 800 Broadway Suite 315, Fort Wayne IN 46802-2149. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Sullivan, Dian can be contacted via phone (260) 489-6030.Contact Information
Primary practice address
800 Broadway Suite 315
Fort Wayne IN 46802-2149
Phone: (260) 489-6030
Fax: (260) 489-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 34001106A | Indiana |
Profile Details
| NPI number | 1720044084 |
|---|---|
| LBN Legal business name | Sullivan, Dian |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Mar 4th, 2016 - about 9 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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