Sullivan, E'Bonique A

Sullivan, E'Bonique A is an individual health care provider with primary practice located at 1963 N E St , San Bernardino CA 92405-3919. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Sullivan, E'Bonique A can be contacted via phone (909) 881-6146.

Contact Information

Primary practice address
1963 N E St San Bernardino CA 92405-3919
Phone: (909) 881-6146
Fax: (909) 880-0111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1053581553
LBN Legal business name Sullivan, E'Bonique A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2008
Last updated Mar 11th, 2008 - about 17 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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