Sullivan, Elana
Sullivan, Elana is an individual health care provider with primary practice located at 55 Fogg Rd , Weymouth MA 02190-2432. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Sullivan, Elana can be contacted via phone (781) 624-8052.Contact Information
Primary practice address
55 Fogg Rd
Weymouth MA 02190-2432
Phone: (781) 624-8052
Fax: (781) 624-6730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 150316 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 150316 | Massachusetts |
Profile Details
| NPI number | 1184682338 |
|---|---|
| LBN Legal business name | Sullivan, Elana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 16th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184682338 | NPPES |
| Massachusetts | MEDICAID | 3192423 |
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