Sullivan, Eugene David
Sullivan, Eugene David is an individual health care provider with primary practice located at 1000 Asylum Ave Suite 2120, Hartford CT 06105. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sullivan, Eugene David can be contacted via phone (860) 246-4000.Contact Information
Primary practice address
1000 Asylum Ave Suite 2120
Hartford CT 06105
Phone: (860) 246-4000
Fax: (860) 527-6985
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 021621 | Connecticut |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 021621 | Connecticut |
Profile Details
NPI number | 1255370326 |
---|---|
LBN Legal business name | Sullivan, Eugene David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Jul 7th, 2010 - about 15 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 | 1255370326 | NPPES |
Connecticut | MEDICAID | 001216217 |
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