Sullivan, Eleanor R
Sullivan, Eleanor R is an individual health care provider with primary practice located at 125 Underpass Rd , Brewster MA 02631-1810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Sullivan, Eleanor R can be contacted via phone (508) 864-3779.Contact Information
Primary practice address
125 Underpass Rd
Brewster MA 02631-1810
Phone: (508) 864-3779
Fax: (888) 275-9498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 72694 | Massachusetts |
Profile Details
| NPI number | 1518919836 |
|---|---|
| LBN Legal business name | Sullivan, Eleanor R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 31st, 2022 - about 2 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 | 1518919836 | NPPES |
| Massachusetts | Other | 072694 | TUFTS |
| Massachusetts | Other | 25008433 | TUFTS |
| Massachusetts | Other | 2580624 | TUFTS |
| Massachusetts | Other | 0057799 | TUFTS |
| Massachusetts | Other | 060063844 | TUFTS |
| Massachusetts | Other | 300296 | TUFTS |
| Massachusetts | MEDICAID | 3126587 | TUFTS |
| Massachusetts | Other | J30487 | TUFTS |
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