Sullivan, Donald Chad

Sullivan, Donald Chad is an individual health care provider with primary practice located at 1650 Kensington Pl , Springdale AR 72764-1159. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Sullivan, Donald Chad can be contacted via phone (479) 283-0024.

Contact Information

Primary practice address
1650 Kensington Pl Springdale AR 72764-1159
Phone: (479) 283-0024
Fax: (636) 444-8533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OTR1114 Arkansas

Profile Details

NPI number 1639213986
LBN Legal business name Sullivan, Donald Chad
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jul 24th, 2019 - about 5 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 1639213986 NPPES
Arkansas MEDICAID 132983721

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